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WOMAN: Ambulance.
What's the emergency?
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00:00:02,800 --> 00:00:05,160
WOMAN: Quickly. We're at Southport.
OK...
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00:00:05,280 --> 00:00:07,000
NARRATOR: The Gold Coast,
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00:00:07,120 --> 00:00:11,480
where the lights burn bright
and the sunshine never ends.
5
00:00:11,600 --> 00:00:14,000
While many Aussies call it home...
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00:00:15,440 --> 00:00:18,520
every year, 12 million tourists
come to play
7
00:00:18,640 --> 00:00:21,520
on this stretch of golden coastline.
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00:00:21,640 --> 00:00:25,920
WOMAN: He was surfing, when he got
bitten on both legs by a shark.
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00:00:26,040 --> 00:00:27,960
I don't think I'm going in the sea
again.
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00:00:28,080 --> 00:00:30,680
But the good times
can often turn ugly...
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00:00:30,800 --> 00:00:34,600
MAN: I want the pelvic binder
on him, OK?
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00:00:34,720 --> 00:00:37,520
..and when they do...
She's not breathing.
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00:00:37,640 --> 00:00:40,760
..these are the people you want
on your side.
14
00:00:40,880 --> 00:00:42,880
Nothing that we can't fix,
sweetheart, alright?
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00:00:43,000 --> 00:00:45,320
MAN: I know.
(BABY CRIES)
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00:00:45,440 --> 00:00:47,440
I'm still very concerned
about this man.
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00:00:47,560 --> 00:00:48,840
There's nothing like Ebola.
18
00:00:48,960 --> 00:00:51,800
Whether you're just visiting
or you live here...
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00:00:51,920 --> 00:00:55,600
My baby's life is going to be
cut shorter because of this.
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00:00:55,720 --> 00:00:57,120
They don't want to see me die.
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00:00:57,240 --> 00:00:58,760
She can't be replaced.
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00:01:00,720 --> 00:01:02,560
..these are the real stories...
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00:01:02,680 --> 00:01:04,080
Hey, I love you too, buddy.
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00:01:04,200 --> 00:01:06,560
..of the cutting-edge
medical teams...
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00:01:06,680 --> 00:01:07,920
WOMAN: Do not move your head.
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00:01:08,040 --> 00:01:10,056
We need to go in
and get that clot out straight away.
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00:01:10,080 --> 00:01:11,160
Good work, guys.
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00:01:11,280 --> 00:01:12,680
..who pick you up...
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00:01:12,800 --> 00:01:13,840
MAN: OK, let's get moving.
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00:01:13,880 --> 00:01:16,480
Best job I've done anyway
nailing things.
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00:01:16,600 --> 00:01:19,280
..patch you up...
Superpower.
32
00:01:19,400 --> 00:01:22,840
The fairy dust's very magical
and it fixes all sorts of things.
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00:01:22,960 --> 00:01:25,720
..and put you back in paradise.
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00:01:31,760 --> 00:01:35,680
Tonight on Gold Coast Medical,
a deadly one-punch attack.
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00:01:35,800 --> 00:01:37,680
WOMAN: If this guy doesn't die,
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there's a good chance he's gonna
end up with a horrible brain injury.
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The wake-up call which changes lives.
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00:01:43,720 --> 00:01:45,096
MAN: Now, to cut a long story short,
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00:01:45,120 --> 00:01:46,696
it may be that you've had
a heart attack.
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00:01:46,720 --> 00:01:50,000
The race to save Darryl's dying heart
with a balloon.
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00:01:50,120 --> 00:01:52,440
When it comes to a heart attack,
time, time, time.
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00:01:52,560 --> 00:01:55,560
You may get some chest pain.
We're inflating the balloon now.
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00:01:55,680 --> 00:01:58,600
And a very special sperm donor...
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She's biting me.
..delivers a miracle.
45
00:02:00,640 --> 00:02:01,760
(WOMAN YELPS)
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00:02:07,160 --> 00:02:10,720
♪ We are always running
for the thrill of it, thrill of it
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♪ Always pushing up the hill
Searching for the thrill of it
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00:02:14,560 --> 00:02:15,560
♪ On and on and on... ♪
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00:02:15,600 --> 00:02:17,240
I've got one intubated patient
coming in.
50
00:02:17,360 --> 00:02:19,760
The emergency department
can be frenetic
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00:02:19,880 --> 00:02:21,680
at any time of the day or night.
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00:02:21,800 --> 00:02:22,960
Have you guys been sorted?
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00:02:23,080 --> 00:02:24,256
Just find out the patient's name
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00:02:24,280 --> 00:02:25,920
and we can find out
what ward they're on.
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00:02:26,040 --> 00:02:29,200
Keeping it running smoothly is
the job of nurse team leader
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00:02:29,320 --> 00:02:30,360
Simone Stephens.
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00:02:30,480 --> 00:02:31,880
This is pretty nice for me.
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Hectic is when the phone
doesn't stop ringing
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00:02:35,280 --> 00:02:39,920
and I haven't weed
and it's just chaos.
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00:02:40,040 --> 00:02:43,600
I've always been very loud...
(LAUGHS) and I laugh a lot.
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00:02:43,720 --> 00:02:47,040
Mr Young. Mr Young.
How are you, darling?
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If you can be the happy leader that
people feel comfortable to come to,
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00:02:51,840 --> 00:02:54,520
then you are gonna have
happy, productive staff.
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00:02:54,640 --> 00:02:57,040
You know, it doesn't matter
who you are, you know,
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00:02:57,160 --> 00:03:00,200
I've got a couple of minutes for you
to say, "Hey, how are you?"
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00:03:00,320 --> 00:03:05,040
and a smile and a hug and I think
that's what makes my shifts,
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00:03:05,160 --> 00:03:08,240
I don't know, probably hopefully
more enjoyable for staff.
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00:03:08,360 --> 00:03:10,520
I like anything from the Big Banana.
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00:03:10,640 --> 00:03:12,200
(BOTH LAUGH)
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00:03:13,360 --> 00:03:17,920
I was voted the most promising
to go to NIDA and be an actress
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00:03:18,040 --> 00:03:19,240
when I was in high school.
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00:03:19,360 --> 00:03:21,600
I don't know how I became
a nurse. (LAUGHS)
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00:03:23,280 --> 00:03:25,160
My nickname is 'The Shit Magnet'.
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00:03:25,280 --> 00:03:27,760
I've had that for
quite a few years now.
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Let me just see if I can...
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00:03:29,560 --> 00:03:31,080
People joke about it all the time,
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00:03:31,200 --> 00:03:35,520
including the ambulance, the police,
the staff, everyone.
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They will walk in and go,
"Oh, my god."
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(HELICOPTER WHIRRS)
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00:03:41,440 --> 00:03:45,440
And true to form, Simone's day
just got a whole lot busier.
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00:03:45,560 --> 00:03:46,760
Emergency. Simone speaking.
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00:03:46,880 --> 00:03:50,680
A rescue chopper is inbound,
carrying a critically ill patient.
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00:03:50,800 --> 00:03:54,360
There's a chopper about to land
with an intubated patient.
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00:03:54,480 --> 00:03:57,760
The chopper that's coming in
is a 41-year-old male
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00:03:57,880 --> 00:04:00,160
who was cowardly punched last night,
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00:04:00,280 --> 00:04:02,840
went back,
whacked the back of his head.
87
00:04:02,960 --> 00:04:06,320
We see this all the time.
Usually there's a bleed.
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00:04:06,440 --> 00:04:10,080
The one-punch attack happened in
a Northern New South Wales town,
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00:04:10,200 --> 00:04:12,400
where the man has spent the night
in the local hospital.
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00:04:12,520 --> 00:04:13,920
He's been stable overnight.
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00:04:14,040 --> 00:04:16,160
This morning,
he's started having seizures
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00:04:16,280 --> 00:04:18,760
and he is not talking -
he's confused,
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00:04:18,880 --> 00:04:21,240
he has obviously got some kind of
head injury.
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00:04:21,360 --> 00:04:24,880
They have put him on life support
to get him up here safely.
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The man's seizure could have been
caused by a bleed in his brain.
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00:04:28,400 --> 00:04:31,920
The resulting build-up of pressure
inside his skull
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00:04:32,040 --> 00:04:35,240
may be restricting blood flow
to vital brain tissue.
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00:04:36,360 --> 00:04:37,360
I'm Rahul. Hi.
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MAN: G'day. How you going?
Quiet, please.
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He'd been drinking heavily,
was hit in the back of the head.
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He had a seizure this morning
around 8:00,
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was given about a total
of 15mg Midazolam
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00:04:48,280 --> 00:04:49,800
with no termination of the seizure.
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We've put a collar on after
he's become unconscious.
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So we're thinking head injury.
Thank you.
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00:04:54,960 --> 00:04:55,960
No worries.
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00:04:56,000 --> 00:04:59,000
The emergency team,
led by Dr Rahul Deshpande,
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00:04:59,120 --> 00:05:02,400
start from scratch to make sure
they know everything there is to know
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00:05:02,520 --> 00:05:04,400
about this bloke's injuries.
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00:05:04,520 --> 00:05:05,856
What other injuries has he got,
you know.
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00:05:05,880 --> 00:05:10,560
Has he, you know, got a fracture in
his spine? Is there anything else?
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MAN: Got two scratch marks
to his upper left back.
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00:05:14,280 --> 00:05:16,320
It's like a detective game.
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00:05:16,440 --> 00:05:21,280
The only thing that's
in his pockets - $1.10.
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00:05:21,400 --> 00:05:23,280
So let's get a chest X-ray.
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00:05:23,400 --> 00:05:25,720
There are no injuries
on the man's body.
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00:05:25,840 --> 00:05:28,840
That looks OK. Thanks, guys.
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00:05:28,960 --> 00:05:30,560
But with one-punch attacks,
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00:05:30,680 --> 00:05:33,520
often the only trauma is a
haemorrhage at the back of the brain.
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00:05:33,640 --> 00:05:34,640
Alright.
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00:05:34,680 --> 00:05:36,720
We keep telling people,
"One punch can kill"
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and it's not the punch
that kills you, it's the fall
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00:05:39,640 --> 00:05:41,120
and usually you end up with a bleed.
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00:05:41,240 --> 00:05:43,200
If this guy doesn't die,
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00:05:43,320 --> 00:05:44,840
there's a good chance
he's gonna end up
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00:05:44,920 --> 00:05:46,240
with a horrible brain injury.
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00:05:46,360 --> 00:05:48,440
And that's it. That's...
You know, he's 41.
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00:05:48,560 --> 00:05:50,000
That's not old.
129
00:05:59,200 --> 00:06:00,840
Friday afternoon on the Gold Coast.
130
00:06:03,040 --> 00:06:05,480
Sun-lovers everywhere are getting
ready to kick their heels up
131
00:06:05,600 --> 00:06:07,360
for another awesome weekend.
132
00:06:07,480 --> 00:06:09,400
(PEOPLE EXCLAIM)
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00:06:10,480 --> 00:06:12,880
♪ I've been needing somebody
to lean on... ♪
134
00:06:13,000 --> 00:06:14,800
But on the other side of town,
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00:06:14,920 --> 00:06:18,520
critical care paramedics
have just received an urgent call.
136
00:06:18,640 --> 00:06:20,800
MAN: Ambulance.
Tell me what's happened.
137
00:06:20,920 --> 00:06:24,000
MAN: There's one driver trapped,
conscious and breathing.
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00:06:24,120 --> 00:06:26,160
The other driver is out.
139
00:06:26,280 --> 00:06:29,240
There's been a major head-on
collision between two cars
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00:06:29,360 --> 00:06:30,800
travelling at high speed.
141
00:06:30,920 --> 00:06:33,640
A driver has fallen asleep
at the wheel
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00:06:33,760 --> 00:06:35,720
and ploughed directly
into oncoming traffic.
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00:06:37,360 --> 00:06:38,880
Joining the chaotic scene
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00:06:39,000 --> 00:06:43,200
is Gold Coast born and bred
critical care paramedic Jay Newton.
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00:06:43,320 --> 00:06:44,760
We've got three patients -
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00:06:44,880 --> 00:06:47,880
one elderly lady who's still
in the car at the moment.
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00:06:48,000 --> 00:06:49,440
She's got multiple injuries.
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00:06:49,560 --> 00:06:52,000
So we're just working on
stabilising her
149
00:06:52,120 --> 00:06:53,760
and getting her ready
to be extricated.
150
00:06:53,880 --> 00:06:56,560
We've got two other patients,
one with some minor injuries
151
00:06:56,680 --> 00:06:58,056
and the other one,
who we'll just take up
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00:06:58,080 --> 00:06:59,096
to the hospital for assessment.
153
00:06:59,120 --> 00:07:02,320
The lady trapped inside
is 57-year-old Elaine.
154
00:07:02,440 --> 00:07:05,360
The other driver and his passenger
have minor injuries
155
00:07:05,480 --> 00:07:08,200
but can see Elaine
is not in a good way.
156
00:07:11,320 --> 00:07:14,040
Yeah, she's in really good hands,
OK? Alright?
157
00:07:14,160 --> 00:07:16,320
Hey, mate.
Jay, from the Trauma Response team.
158
00:07:16,440 --> 00:07:18,440
Yes, mate.
We want to get her out this side.
159
00:07:18,560 --> 00:07:20,240
She's got multiple injuries.
160
00:07:20,360 --> 00:07:21,600
She's got a chest injury,
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00:07:21,720 --> 00:07:24,320
can't feel her foot,
so that's our main concern,
162
00:07:24,440 --> 00:07:27,840
that she's possibly done
quite a significant injury there.
163
00:07:27,960 --> 00:07:31,280
We'll just get some access
and some pain management.
164
00:07:31,400 --> 00:07:33,080
We'll probably sedate her
and pull her out.
165
00:07:33,160 --> 00:07:37,960
Elaine has no feeling in her foot.
Time is more critical than ever.
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00:07:40,000 --> 00:07:41,720
We're ready.
167
00:07:41,840 --> 00:07:45,800
Firefighters use the jaws-of-life
to tear through the car doors.
168
00:07:45,920 --> 00:07:47,920
(METAL CREAKS)
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Considering the carnage,
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00:07:49,920 --> 00:07:53,360
the fact that Elaine is conscious
and talking is astonishing.
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00:07:53,480 --> 00:07:56,600
Hello. How are you feeling
at the moment? How's your pain?
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00:07:58,720 --> 00:07:59,840
How bad is it out of ten?
173
00:08:02,160 --> 00:08:03,520
And where does it hurt the most?
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00:08:03,640 --> 00:08:05,040
From what Jay can see,
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00:08:05,160 --> 00:08:08,280
she has severe lower-limb
and possible abdominal injuries.
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00:08:10,600 --> 00:08:13,600
We're gonna give you some
really strong painkillers now, OK?
177
00:08:13,720 --> 00:08:17,080
To help Elaine deal with the pain,
they are giving her
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00:08:17,200 --> 00:08:20,000
the disassociative pain relief drug
ketamine.
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00:08:20,120 --> 00:08:22,600
It will give her
an out-of-body-like experience
180
00:08:22,720 --> 00:08:24,960
to help her forget the trauma.
181
00:08:25,080 --> 00:08:26,520
We're just gonna knock her out.
182
00:08:26,640 --> 00:08:29,600
Elaine? Elaine?
183
00:08:29,720 --> 00:08:32,440
As the rescue team
pull her out of the car,
184
00:08:32,560 --> 00:08:35,440
the severity of her leg injuries
becomes apparent.
185
00:08:35,560 --> 00:08:37,560
It doesn't look good.
186
00:08:37,680 --> 00:08:40,200
And then her husband arrives
on the scene.
187
00:08:52,400 --> 00:08:53,880
Come on, Gino.
188
00:08:54,000 --> 00:08:57,520
Becoming a mum has been a big dream
for 29-year-old Carly
189
00:08:57,640 --> 00:08:59,520
ever since she was a little girl.
190
00:08:59,640 --> 00:09:02,880
But her journey, she knew,
would always be a difficult one.
191
00:09:05,520 --> 00:09:10,200
CARLY: I found out when I was in
my early 20s that I was infertile,
192
00:09:10,320 --> 00:09:13,080
so I knew that if I was
ever gonna have a child,
193
00:09:13,200 --> 00:09:15,520
it was gonna be a long process
and I'd have to do IVF.
194
00:09:15,640 --> 00:09:18,720
But that wasn't the only problem.
195
00:09:18,840 --> 00:09:20,320
I've got endometriosis
196
00:09:20,440 --> 00:09:23,680
and I've also got a couple of other
fertility issues as well.
197
00:09:23,800 --> 00:09:28,640
♪ Come back to bed
Singing 'Georgia On My Mind'
198
00:09:28,760 --> 00:09:29,760
♪ And I... ♪
199
00:09:29,800 --> 00:09:33,240
Heartbreakingly, the odds seemed
stacked against her.
200
00:09:33,360 --> 00:09:36,080
So they did a test called
an AMH test,
201
00:09:36,200 --> 00:09:38,320
which basically looks at
your egg reserve
202
00:09:38,440 --> 00:09:40,600
and mine came back
and it was very, very low.
203
00:09:40,720 --> 00:09:43,920
Well, he said at the time I had
about 12 months left of eggs.
204
00:09:44,040 --> 00:09:46,080
Being told that I only had 12 months
205
00:09:46,200 --> 00:09:49,240
and then being told I'm gonna need
minimum $10,000
206
00:09:49,360 --> 00:09:52,560
was obviously a bit of a shock.
207
00:09:52,680 --> 00:09:55,040
It was an especially tough time
208
00:09:55,160 --> 00:09:57,760
and a lot of pressure
on a brand-new relationship.
209
00:09:58,960 --> 00:10:02,120
We'd been together officially
for about two months
210
00:10:02,240 --> 00:10:04,440
and I said, "Well, I'm gonna be
doing this.
211
00:10:04,560 --> 00:10:07,280
"If you wanna stay with me,
that's OK.
212
00:10:07,400 --> 00:10:09,800
"If you don't wanna be around,
I completely understand.
213
00:10:09,920 --> 00:10:11,696
"We've only been together
a couple of months."
214
00:10:11,720 --> 00:10:14,880
And it's lucky, 'cause it took us
a couple of years
215
00:10:15,000 --> 00:10:16,120
to get where we are.
216
00:10:16,240 --> 00:10:20,040
Where they are is
happily 36 weeks' pregnant,
217
00:10:20,160 --> 00:10:22,360
expecting an ever-so-precious
baby boy.
218
00:10:26,760 --> 00:10:30,480
I'm Alee Jane. I tattoo.
219
00:10:30,600 --> 00:10:32,440
I'm lucky enough to date Carly.
220
00:10:32,560 --> 00:10:37,120
♪ Hey, ho, let's go
Hey, ho, let's go... ♪
221
00:10:37,240 --> 00:10:38,560
People look at us differently.
222
00:10:38,680 --> 00:10:41,400
People say things, whether it's
to us or to each other -
223
00:10:41,520 --> 00:10:42,600
but you can hear them.
224
00:10:42,720 --> 00:10:46,920
The best part is getting ultrasounds
and they assume I'm...
225
00:10:47,040 --> 00:10:49,000
They're, like, "Are you the sister
or the friend?"
226
00:10:50,400 --> 00:10:53,680
But when they ask, they're, like,
"Are you l..."
227
00:10:53,800 --> 00:10:55,760
Lesbians. Yes, they are.
228
00:10:55,880 --> 00:10:58,600
♪ Hey, ho, let's go... ♪
229
00:10:58,720 --> 00:11:01,920
Blissfully in love,
after a whirlwind romance,
230
00:11:02,040 --> 00:11:03,760
done the modern way.
231
00:11:03,880 --> 00:11:06,280
Alee actually tattooed
one of my friends
232
00:11:06,400 --> 00:11:09,440
and I really admired her work.
233
00:11:09,560 --> 00:11:10,856
And she said,
"Oh, add her on Facebook"
234
00:11:10,880 --> 00:11:12,680
and the rest is history, really.
235
00:11:12,800 --> 00:11:14,200
She ignored me for ages, actually.
236
00:11:14,320 --> 00:11:17,160
I messaged her a lot and commented
on a whole lot of posts
237
00:11:17,280 --> 00:11:20,800
and she just ignored me but
eventually she realised I was there.
238
00:11:20,920 --> 00:11:22,960
♪ Hey, ho, let's go. ♪
239
00:11:23,080 --> 00:11:26,880
For Alee Jane, it's been
an equally tumultuous few years.
240
00:11:27,000 --> 00:11:29,440
Telling my family was hard.
241
00:11:29,560 --> 00:11:30,920
That takes too long.
242
00:11:31,040 --> 00:11:33,520
They didn't understand why I wanted
a kid so quick
243
00:11:33,640 --> 00:11:36,400
and it was so hard to explain
that it's a ticking time bomb.
244
00:11:36,520 --> 00:11:39,720
Emotionally, that really hit
a 27-year-old really hard,
245
00:11:39,840 --> 00:11:42,160
knowing you only have
12 months left,
246
00:11:42,280 --> 00:11:47,600
and the funds you need for IVF,
the emotional support...
247
00:11:47,720 --> 00:11:49,640
And I think it did us really well,
though,
248
00:11:49,760 --> 00:11:51,560
because we've had those, I think...
249
00:11:51,680 --> 00:11:53,160
How many times did we do it? Four?
250
00:11:53,280 --> 00:11:54,760
All up?
Yeah.
251
00:11:54,880 --> 00:11:59,520
..and each time
I think we just got closer.
252
00:11:59,640 --> 00:12:03,160
The mums-to-be have had to go through
four rounds of IVF
253
00:12:03,280 --> 00:12:04,280
at a private clinic,
254
00:12:04,400 --> 00:12:08,200
each time experiencing greater
disappointment and sadness.
255
00:12:08,320 --> 00:12:12,280
They found that I had what's called
a lupus anticoagulant antigen,
256
00:12:12,400 --> 00:12:15,440
so that can cause miscarriages.
257
00:12:15,560 --> 00:12:17,040
Your body doesn't recognise...
258
00:12:17,160 --> 00:12:21,080
It sort of thinks of the baby as,
I guess, like a foreign body.
259
00:12:21,200 --> 00:12:25,720
In essence, Carly own body was
fighting and ultimately killing off
260
00:12:25,840 --> 00:12:27,000
her fertilised eggs.
261
00:12:27,120 --> 00:12:30,440
The last minute, we said,
"No, let's give it one more go."
262
00:12:30,560 --> 00:12:34,560
It was the day of the scan
and we were just not excited at all.
263
00:12:34,680 --> 00:12:36,440
I couldn't even look at the screen.
264
00:12:36,560 --> 00:12:38,520
I was just looking at Alee
and I just said to her,
265
00:12:38,640 --> 00:12:42,320
"Tell me when you see a heartbeat."
266
00:12:42,440 --> 00:12:47,200
And I saw her face and it was happy,
so I knew something was good.
267
00:12:47,320 --> 00:12:48,840
And here we are.
268
00:12:51,960 --> 00:12:53,600
Do you like it?
Distinctly...
269
00:12:53,720 --> 00:12:55,960
Carly, act happier.
270
00:12:56,080 --> 00:12:59,840
Strong, healthy, really good
heartbeat. We're very lucky.
271
00:12:59,960 --> 00:13:04,120
I think it's cute. It is cute.
It's very cute.
272
00:13:04,240 --> 00:13:09,560
I'm in a low-risk, normal, boring
pregnancy, which is what we want.
273
00:13:09,680 --> 00:13:12,440
One thing this couple doesn't do
is boring...
274
00:13:12,560 --> 00:13:15,440
♪ Uh-huh, all the girls
that be feeling like this... ♪
275
00:13:15,560 --> 00:13:19,680
..so when it came to choosing the
sperm donor, they didn't disappoint.
276
00:13:19,800 --> 00:13:21,240
(LAUGHS)
277
00:13:28,040 --> 00:13:32,479
In Seven News
278
00:13:32,480 --> 00:13:35,120
SIMONE: We keep telling people,
"One punch can kill."
279
00:13:35,240 --> 00:13:37,800
It's not the punch
that kills you, it's the fall
280
00:13:37,920 --> 00:13:41,120
and usually you end up with a bleed
way too often.
281
00:13:41,240 --> 00:13:42,240
Yeah.
(PHONE RINGS)
282
00:13:42,280 --> 00:13:43,560
Excuse me.
283
00:13:43,680 --> 00:13:45,200
Emergency. Simone speaking.
284
00:13:45,320 --> 00:13:47,920
It's a busy morning
in the emergency department,
285
00:13:48,040 --> 00:13:52,360
where the team is dealing with the
victim of a one-punch drunken attack.
286
00:13:52,480 --> 00:13:54,280
The man's head hit the pavement
287
00:13:54,400 --> 00:13:57,040
and hours later
he suffered a seizure.
288
00:13:57,160 --> 00:13:58,880
Glucose is 7.3.
289
00:13:59,000 --> 00:14:01,760
Bicarb is 20 points,
so that's acceptable.
290
00:14:01,880 --> 00:14:03,960
When he was first admitted
to hospital,
291
00:14:04,080 --> 00:14:05,880
doctors had to sedate the man
292
00:14:06,000 --> 00:14:08,560
because he was drunk and aggressive
with staff.
293
00:14:08,680 --> 00:14:11,120
His pulse is negative.
294
00:14:11,240 --> 00:14:13,800
Unfortunately, patients that have
been cowardly punched
295
00:14:13,920 --> 00:14:15,880
are often really intoxicated,
296
00:14:16,000 --> 00:14:20,440
so we need to scan their head
to see, are they just intoxicated
297
00:14:20,560 --> 00:14:22,080
and acting like idiots
298
00:14:22,200 --> 00:14:27,000
or are they actually agitated
because of a bleed in their head?
299
00:14:27,120 --> 00:14:29,040
Are you guys using contrast as well?
300
00:14:29,160 --> 00:14:30,200
MAN: No.
No.
301
00:14:30,320 --> 00:14:33,160
So, obviously we're worried about
a head injury,
302
00:14:33,280 --> 00:14:36,320
maybe a fractured skull
or bleeding inside the brain
303
00:14:36,440 --> 00:14:38,120
which may need urgent surgery.
304
00:14:38,240 --> 00:14:39,816
So we don't know, actually,
what the cause is
305
00:14:39,840 --> 00:14:41,656
but given the fact that he's fallen
onto concrete,
306
00:14:41,680 --> 00:14:44,000
we're worried about
these couple of things.
307
00:14:44,120 --> 00:14:46,080
Everyone happy? Yep? Alright.
308
00:14:46,200 --> 00:14:50,520
It could potentially be damage
for life from this one injury.
309
00:14:50,640 --> 00:14:52,400
So let's see the head and then go.
310
00:14:52,520 --> 00:14:54,080
(MACHINE TRILLS)
311
00:14:57,720 --> 00:14:58,720
OK. Cool.
312
00:14:58,760 --> 00:15:00,880
Cleared of a brain injury,
313
00:15:01,000 --> 00:15:05,280
the team suspect the seizure may have
been caused by excessive alcohol.
314
00:15:05,400 --> 00:15:06,760
That's probably good news for him.
315
00:15:06,840 --> 00:15:08,440
Right.
316
00:15:08,560 --> 00:15:10,280
So we'll just take him back to
Emergency.
317
00:15:10,400 --> 00:15:14,240
I'd say he'll probably stay
intubated at least most of today
318
00:15:14,360 --> 00:15:16,800
and then they'll just assess him
a little bit later
319
00:15:16,920 --> 00:15:18,120
and see what he's like.
320
00:15:18,240 --> 00:15:20,600
(PHONE RINGS)
Sorry. Sorry. Sorry.
321
00:15:20,720 --> 00:15:22,120
Emergency. Simone speaking.
322
00:15:23,960 --> 00:15:26,440
He made a lucky escape
from a serious head injury
323
00:15:26,560 --> 00:15:31,000
and 48 hours later, miraculously,
he walked out of the hospital
324
00:15:31,120 --> 00:15:32,960
and back into his life.
325
00:15:40,920 --> 00:15:44,880
Must be you.
Those are not my lips.
326
00:15:45,000 --> 00:15:47,120
First-time mums Carly and Alee
327
00:15:47,240 --> 00:15:50,640
have been looking forward to having
a baby together for a long time.
328
00:15:50,760 --> 00:15:53,560
We've had different donors
for each cycle.
329
00:15:53,680 --> 00:15:56,040
Most Australians actually stipulate
330
00:15:56,160 --> 00:15:59,800
that they don't want their sperm
going to same-sex couples,
331
00:15:59,920 --> 00:16:03,440
so that ruled most of them out
anyway.
332
00:16:03,560 --> 00:16:06,600
Looks like he's yelling.
He's got the pout on.
333
00:16:06,720 --> 00:16:09,640
I don't reckon you can tell
what they look like.
334
00:16:09,760 --> 00:16:12,040
All we know, he's got big lips
and fat cheeks.
335
00:16:12,160 --> 00:16:14,720
We knew what we wanted
straight away.
336
00:16:14,840 --> 00:16:16,600
We wanted African-American,
337
00:16:16,720 --> 00:16:18,616
so obviously that wasn't going to be
an Australian anyway.
338
00:16:18,640 --> 00:16:22,400
So they especially ordered an
African-American sperm donor in
339
00:16:22,520 --> 00:16:23,600
for us.
340
00:16:23,720 --> 00:16:25,240
Do you want to see your brother?
341
00:16:26,720 --> 00:16:28,016
You won't be the favourite anymore.
342
00:16:28,040 --> 00:16:29,960
Doesn't care.
343
00:16:30,080 --> 00:16:33,560
Working in foster care, I've seen
a lot of mixed-race babies
344
00:16:33,680 --> 00:16:35,400
and they're just beautiful.
345
00:16:35,520 --> 00:16:37,760
It's been a tough journey
346
00:16:37,880 --> 00:16:40,760
after four devastating,
failed IVF attempts.
347
00:16:40,880 --> 00:16:45,480
We were really scared because every
time we got to the 6-8 week mark,
348
00:16:45,600 --> 00:16:46,880
a miscarriage happened,
349
00:16:47,000 --> 00:16:49,200
so we were like, "OK,
we'll just make it to 12 weeks."
350
00:16:49,320 --> 00:16:51,336
And every week, we were like,
"We'll just make it to the next one.
351
00:16:51,360 --> 00:16:52,920
"We'll just make it
to the next one."
352
00:16:53,040 --> 00:16:55,680
And we were so scared of losing him
that we couldn't get happy.
353
00:16:55,800 --> 00:16:57,480
Like, you just can't.
Mmm.
354
00:16:57,600 --> 00:17:00,120
And... Oh, it was really hard.
355
00:17:00,240 --> 00:17:04,560
But in the early hours of this
morning, things finally got real.
356
00:17:04,680 --> 00:17:07,720
Their African-American baby boy
is on his way -
357
00:17:07,840 --> 00:17:10,840
a few weeks early,
just to keep them on their toes.
358
00:17:10,960 --> 00:17:14,520
She woke up with pains
and then 3:30 she woke me up
359
00:17:14,640 --> 00:17:19,040
and she was 5cm dilated, like,
pretty quick, like, within an hour.
360
00:17:19,160 --> 00:17:20,880
The tattoos were a build-up
to this baby.
361
00:17:21,000 --> 00:17:22,800
(LAUGHS)
362
00:17:22,920 --> 00:17:25,600
I'm not sure that
will do it justice, hey?
363
00:17:25,720 --> 00:17:26,960
No. No.
364
00:17:27,080 --> 00:17:28,320
I think she's realising that.
365
00:17:28,440 --> 00:17:30,600
Yeah, this is different altogether.
Mmm.
366
00:17:30,720 --> 00:17:32,880
As well as Alee Jane,
367
00:17:33,000 --> 00:17:35,400
Carly has called in her mum
to be by her side.
368
00:17:35,520 --> 00:17:37,280
WOMAN: At, like, 3:00,
she rung me up.
369
00:17:37,400 --> 00:17:40,480
But I lay back in bed
for half an hour
370
00:17:40,600 --> 00:17:43,800
and then, within half an hour,
I got another phone call
371
00:17:43,920 --> 00:17:45,800
to say, "I think
it's gonna be quick.
372
00:17:45,920 --> 00:17:47,440
"You better get to
the hospital."
373
00:17:47,560 --> 00:17:50,160
So, yeah, grabbed
the Macca's coffee on the way
374
00:17:50,280 --> 00:17:51,480
and... (LAUGHS)
375
00:17:51,600 --> 00:17:53,400
and here I am.
376
00:17:53,520 --> 00:17:55,800
This moment has been a long time
in the making,
377
00:17:55,920 --> 00:17:59,960
so Carly has already got
a clear vision of the birth.
378
00:18:00,080 --> 00:18:04,600
CARLY: I want it very calm in there,
so I want dark lighting.
379
00:18:04,720 --> 00:18:06,920
I'm hoping to be in the birth pool
380
00:18:07,040 --> 00:18:09,640
and just be able to pretty much
birth him myself
381
00:18:09,760 --> 00:18:11,360
while the midwives stand by.
382
00:18:11,480 --> 00:18:16,280
I don't want any yelling,
which comes down to me, I suppose.
383
00:18:16,400 --> 00:18:18,360
I would like a DJ...
384
00:18:18,480 --> 00:18:19,760
(LAUGHS)
385
00:18:19,880 --> 00:18:22,440
..playing my favourite hits.
386
00:18:32,600 --> 00:18:36,600
Either way, they're in good hands,
with midwife Ellen McLean.
387
00:18:37,960 --> 00:18:43,320
To see a woman who is just working
with her body
388
00:18:43,440 --> 00:18:44,800
to get through all that
389
00:18:44,920 --> 00:18:46,720
and to listen to it...
390
00:18:46,840 --> 00:18:49,760
And sometimes women have that
on their own
391
00:18:49,880 --> 00:18:53,640
and sometimes I know they have it
because I'm there with them.
392
00:18:54,880 --> 00:18:57,760
(LOW-LEVEL CONVERSATION)
393
00:19:02,280 --> 00:19:04,080
They're proud of themselves
394
00:19:04,200 --> 00:19:08,480
and you do, you feel like
a warrior queen.
395
00:19:08,600 --> 00:19:11,520
(LOW-LEVEL CONVERSATION)
396
00:19:20,440 --> 00:19:22,000
With every contraction that passes,
397
00:19:22,120 --> 00:19:26,840
the mums-to-be get closer to meeting
the baby of their dreams.
398
00:19:26,960 --> 00:19:28,120
What's his name?
399
00:19:28,240 --> 00:19:30,040
Oakland.
400
00:19:30,160 --> 00:19:31,520
Oakland.
Yeah.
401
00:19:31,640 --> 00:19:33,320
That's different.
Oaky-Oaky.
402
00:19:33,440 --> 00:19:34,440
OK.
403
00:19:34,560 --> 00:19:37,800
I like the name Oakland
and I proposed it to Carly
404
00:19:37,920 --> 00:19:40,840
and then she said,
because I got the first name,
405
00:19:40,960 --> 00:19:44,080
she has to choose the middle name,
which is...
406
00:19:44,200 --> 00:19:46,360
Vance.
Why is it Vance?
407
00:19:46,480 --> 00:19:49,800
Because I guess we have a song
408
00:19:49,920 --> 00:19:52,120
which is by Vance Joy
409
00:19:52,240 --> 00:19:57,520
and so we wanted Vance in his name
because that's very special to us.
410
00:19:57,640 --> 00:19:59,440
And corny.
Very corny.
411
00:19:59,560 --> 00:20:02,200
(BOTH LAUGH)
412
00:20:02,320 --> 00:20:03,800
We're those mums.
Yep.
413
00:20:03,920 --> 00:20:06,640
♪ Lady, running down
to the riptide... ♪
414
00:20:06,760 --> 00:20:11,480
Certainly everything and everyone is
ready for baby Oakland's arrival.
415
00:20:11,600 --> 00:20:16,040
But it appears maybe he isn't
just yet.
416
00:20:16,160 --> 00:20:18,960
Next thing I'll have something
in my vagina...
417
00:20:19,080 --> 00:20:21,680
That's me.
All I can think of is...
418
00:20:21,800 --> 00:20:23,560
(LAUGHTER)
419
00:20:23,680 --> 00:20:24,840
Not this time.
420
00:20:36,920 --> 00:20:39,600
Critical care paramedics
are rescuing Elaine
421
00:20:39,720 --> 00:20:40,840
from her mangled car
422
00:20:40,960 --> 00:20:44,520
moments after she collided head on
with another driver.
423
00:20:44,640 --> 00:20:46,480
MAN: She's got multiple lower-leg
fractures.
424
00:20:46,600 --> 00:20:49,000
You can see her bone
sort of sticking out.
425
00:20:49,120 --> 00:20:51,720
And just as they get Elaine safely
onto the trolley,
426
00:20:51,840 --> 00:20:54,520
her worried husband arrives
to be by her side.
427
00:21:02,080 --> 00:21:04,080
Elaine's legs are not in a good way.
428
00:21:04,200 --> 00:21:05,960
See how she goes with that.
429
00:21:06,080 --> 00:21:07,080
WOMAN: Oh...
430
00:21:07,120 --> 00:21:08,480
OK. Hang on. It's not enough.
431
00:21:08,600 --> 00:21:13,160
She has multiple open-wound fractures
and severe pain in her chest
432
00:21:13,280 --> 00:21:14,560
from the impact of the crash.
433
00:21:17,080 --> 00:21:21,600
Critical care paramedics must get her
to the hospital immediately,
434
00:21:21,720 --> 00:21:24,920
where a major trauma call
has gone out.
435
00:21:25,040 --> 00:21:29,240
A team of specialist doctors is
on standby for Elaine's arrival.
436
00:21:30,440 --> 00:21:33,440
She's stable at this stage. We'll be
there probably about ten minutes.
437
00:21:33,560 --> 00:21:35,720
(SIREN WAILS)
438
00:21:35,840 --> 00:21:39,600
Orthopaedics, intensive care
and a surgical trauma team
439
00:21:39,720 --> 00:21:42,000
will all work together on Elaine.
440
00:21:46,440 --> 00:21:47,800
MAN: Any pain here at all?
441
00:21:47,920 --> 00:21:49,280
ELAINE: No.
442
00:21:49,400 --> 00:21:50,840
Do you have some pain in the knee?
443
00:21:50,960 --> 00:21:52,040
Oh, yeah...
Yes.
444
00:21:52,160 --> 00:21:55,560
She has two injuries
which are quite significant,
445
00:21:55,680 --> 00:21:56,776
being that they're open injuries,
446
00:21:56,800 --> 00:22:00,040
meaning that there's bone protruding
from the skin, patella
447
00:22:00,160 --> 00:22:01,360
and around the left ankle,
448
00:22:01,480 --> 00:22:05,320
so it's something that we have to
manage fairly quickly.
449
00:22:05,440 --> 00:22:08,240
The fact that she has bones
protruding through her skin...
450
00:22:08,360 --> 00:22:09,760
Ow!
451
00:22:09,880 --> 00:22:11,560
..means the risk of infection
is high.
452
00:22:13,280 --> 00:22:15,840
WOMAN: Is that a little bit better?
Is your leg sore?
453
00:22:15,960 --> 00:22:17,560
The antibiotics...
454
00:22:17,680 --> 00:22:20,400
Elaine is pumped with antibiotics.
455
00:22:20,520 --> 00:22:22,080
Two grams of penicillin.
456
00:22:22,200 --> 00:22:25,320
This will buy them enough time to do
CT scans
457
00:22:25,440 --> 00:22:27,520
to determine what injuries she has.
458
00:22:34,160 --> 00:22:37,880
♪ Darling, darling
you know that we are sold out
459
00:22:38,000 --> 00:22:43,080
♪ This is fading
But the band plays on now
460
00:22:43,200 --> 00:22:44,320
♪ We're crying, crying... ♪
461
00:22:44,440 --> 00:22:48,760
57-year-old Elaine has been involved
in a head-on car crash.
462
00:22:48,880 --> 00:22:51,800
She has two injuries
which are quite significant,
463
00:22:51,920 --> 00:22:53,096
being that they're open injuries,
464
00:22:53,120 --> 00:22:55,560
meaning that there's bone protruding
from the skin.
465
00:22:55,680 --> 00:22:58,760
X-rays reveal the extent
of the fractures
466
00:22:58,880 --> 00:23:00,840
in Elaine's middle and lower leg.
467
00:23:00,960 --> 00:23:04,280
Elaine is raced to theatre
for surgery.
468
00:23:04,400 --> 00:23:06,320
What we need to do is put it
into a good position
469
00:23:06,400 --> 00:23:08,936
and then we can mainly deal with
the soft tissue injuries as well.
470
00:23:08,960 --> 00:23:11,840
So there's quite a big laceration
over the front there.
471
00:23:11,960 --> 00:23:13,360
Chris's quick thinking
472
00:23:13,480 --> 00:23:17,440
already has saved Elaine
from losing her leg entirely.
473
00:23:17,560 --> 00:23:20,400
When she presented at ED,
she had no pulse in the foot.
474
00:23:20,520 --> 00:23:22,240
The foot was cold and deformed.
475
00:23:22,360 --> 00:23:26,120
So what he did was to reposition
the foot, realign it
476
00:23:26,240 --> 00:23:28,640
and therefore restore profusion
to the foot,
477
00:23:28,760 --> 00:23:30,200
after which she has had a pulse,
478
00:23:30,320 --> 00:23:32,560
so therefore she has a viable leg.
479
00:23:32,680 --> 00:23:34,160
So that's the urgent intervention.
480
00:23:34,280 --> 00:23:36,560
The surgical team has a big job
on their hands
481
00:23:36,680 --> 00:23:40,400
putting all the pieces of Elaine's
bones together again,
482
00:23:40,520 --> 00:23:44,680
so they will only concentrate on her
most high-risk injuries tonight,
483
00:23:44,800 --> 00:23:47,080
which are her knee and ankle.
484
00:23:47,200 --> 00:23:50,000
So the wound at the shin level
is through the fat
485
00:23:50,120 --> 00:23:52,320
and he's just sewing to
the layer of the deep tissue,
486
00:23:52,440 --> 00:23:54,760
which Mike is doing now.
487
00:23:54,880 --> 00:23:58,760
We're gonna get a good result there,
hopefully, without infection.
488
00:23:58,880 --> 00:24:02,560
The team will need to reconstruct
her patella entirely,
489
00:24:02,680 --> 00:24:04,520
salvaging what bone they can
490
00:24:04,640 --> 00:24:07,640
and securing it with a combination of
wires and screws.
491
00:24:07,760 --> 00:24:10,600
At the top end,
you can see the knee wound.
492
00:24:10,720 --> 00:24:12,680
Now Chris has opened up the knee.
493
00:24:12,800 --> 00:24:15,200
I think the fate was sealed
at the time of injury.
494
00:24:15,320 --> 00:24:18,920
I don't think she will have
normal kneecap function
495
00:24:19,040 --> 00:24:20,800
as she knew it prior to injury
496
00:24:20,920 --> 00:24:24,920
but I think we will try to give her
the best chance for it to heal up.
497
00:24:30,160 --> 00:24:31,280
(SIREN WAILS)
498
00:24:35,360 --> 00:24:37,240
In the hospital's
coronary care unit,
499
00:24:37,360 --> 00:24:41,480
miracles are a daily responsibility
for Dr Atifur Rahman.
500
00:24:41,600 --> 00:24:44,480
DR RAHMAN: When I was very young,
I wanted to be a doctor
501
00:24:44,600 --> 00:24:48,040
and when I became a doctor, I always
wanted to be a cardiologist.
502
00:24:48,160 --> 00:24:51,280
In the world, besides my family,
there is two things -
503
00:24:51,400 --> 00:24:53,920
cardiology and, spare time, cricket.
504
00:24:54,040 --> 00:24:55,160
Nothing else.
505
00:24:57,840 --> 00:24:59,280
Can I have a pair of gloves, please?
506
00:24:59,400 --> 00:25:01,480
An interventional cardiologist,
507
00:25:01,600 --> 00:25:03,960
he specialises in using
catheter lines
508
00:25:04,080 --> 00:25:08,520
inserted into patients' arteries
to access their beating hearts.
509
00:25:08,640 --> 00:25:10,360
That's the hot flush coming.
510
00:25:10,480 --> 00:25:11,960
We are a very busy centre
511
00:25:12,080 --> 00:25:13,496
but we are very fortunate
in Gold Coast
512
00:25:13,520 --> 00:25:14,816
we have such a wonderful facility
513
00:25:14,840 --> 00:25:17,160
and we have
such a wonderful service.
514
00:25:17,280 --> 00:25:21,480
Up to ten times a day,
Dr Rahman repairs damaged hearts
515
00:25:21,600 --> 00:25:24,280
while his patients are wide awake.
516
00:25:24,400 --> 00:25:25,760
So the tube is in.
517
00:25:25,880 --> 00:25:28,160
You shouldn't get any more pain
or discomfort from now.
518
00:25:28,280 --> 00:25:30,320
We got quite a few more patients
remaining.
519
00:25:30,440 --> 00:25:34,960
It continues rest of the day
probably until 5:00, 6:00, 7:00
520
00:25:35,080 --> 00:25:36,920
and we'll try to do
as many as we can.
521
00:25:37,040 --> 00:25:39,376
Maria, we put the stent in.
I'm very pleased with the result.
522
00:25:39,400 --> 00:25:41,320
Thank you.
523
00:25:41,440 --> 00:25:43,400
Most of the days, I am busy normally
524
00:25:43,520 --> 00:25:45,560
but fortunately we haven't had
a STEMI yet,
525
00:25:45,680 --> 00:25:49,800
so if we get a STEMI,
then it interrupts the days badly.
526
00:25:49,920 --> 00:25:54,240
STEMI is medical speak for the most
serious kind of heart attack.
527
00:25:54,360 --> 00:25:58,040
This is the medical emergency when
the artery is totally occluded
528
00:25:58,160 --> 00:26:00,560
and we need to open those arteries
very quickly.
529
00:26:00,680 --> 00:26:05,280
If a STEMI comes, we just prioritise
whoever needs to be done first.
530
00:26:05,400 --> 00:26:07,720
Just as Dr Rahman knocks off
for the day,
531
00:26:07,840 --> 00:26:12,600
a call to 000 rearranges his plans
for the evening.
532
00:26:12,720 --> 00:26:15,056
WOMAN: (ON PHONE) Ambulance. What's
the town or suburb of the emergency?
533
00:26:15,080 --> 00:26:16,280
MAN: (ON PHONE) Sussex Inlet.
534
00:26:16,400 --> 00:26:17,816
Can you tell me exactly
what's happened?
535
00:26:17,840 --> 00:26:19,600
I've got, like, chest pains
536
00:26:19,720 --> 00:26:22,200
that feels like
something's stabbing in my chest.
537
00:26:22,320 --> 00:26:24,840
OK. I'm gonna get you some help
there, OK?
538
00:26:24,960 --> 00:26:27,040
Did you say that your wife's
just there with you?
539
00:26:27,160 --> 00:26:28,600
Yeah, my wife and son. Yes.
540
00:26:28,720 --> 00:26:31,680
OK. Perfect. Now, we are
coming to you at the moment.
541
00:26:31,800 --> 00:26:34,920
A 57-year-old man is showing
all the typical signs
542
00:26:35,040 --> 00:26:36,800
of a STEMI heart attack.
543
00:26:36,920 --> 00:26:37,920
This is Darryl.
544
00:26:37,960 --> 00:26:39,376
He's experienced
some retrosternal pain,
545
00:26:39,400 --> 00:26:44,040
radiating down his left arm...
since about 2:45 this afternoon.
546
00:26:44,160 --> 00:26:46,440
Described as a heaviness,
nine out of ten.
547
00:26:46,560 --> 00:26:47,976
MAN: Darryl, to cut
a long story short,
548
00:26:48,000 --> 00:26:49,576
it may be that you've had
a heart attack.
549
00:26:49,600 --> 00:26:51,040
Any dizziness, sweating?
550
00:26:51,160 --> 00:26:53,480
DARRYL: No dizziness, no nausea.
551
00:26:53,600 --> 00:26:54,800
Any family history...
552
00:26:54,920 --> 00:26:57,240
OK, guys, we're gonna go
straight upstairs, OK, please?
553
00:26:57,360 --> 00:27:00,880
Darryl's wife Jenny has travelled
with him to the hospital.
554
00:27:01,000 --> 00:27:04,800
There's a lot for her to take in
and things are moving fast.
555
00:27:06,280 --> 00:27:08,040
I'll explain this upstairs...
Go. Go, guys.
556
00:27:08,160 --> 00:27:10,856
This is a form of heart attack...
we consider it a medical emergency.
557
00:27:10,880 --> 00:27:12,840
Would you like to follow us up?
Yeah.
558
00:27:12,960 --> 00:27:14,216
Everything is time in cardiology.
559
00:27:14,240 --> 00:27:17,240
When it comes to heart attack,
time, time, time. Time is massive.
560
00:27:17,360 --> 00:27:21,760
If you are late in opening
the artery, the muscle could die
561
00:27:21,880 --> 00:27:24,320
and they can have quite serious
complication from that,
562
00:27:24,440 --> 00:27:26,680
so then it becomes
very, very important,
563
00:27:26,800 --> 00:27:28,080
go, go, go, everyone on the run,
564
00:27:28,160 --> 00:27:31,040
rush and quick
when you open the artery.
565
00:27:33,240 --> 00:27:35,360
With her husband's life
hanging in the balance,
566
00:27:35,480 --> 00:27:38,560
the ride up to the cardiology
operating theatre
567
00:27:38,680 --> 00:27:40,680
feels like an eternity for Jenny.
568
00:27:40,800 --> 00:27:42,576
Is there anything else you wanted
to ask at all?
569
00:27:42,600 --> 00:27:43,920
Sorry?
570
00:27:44,040 --> 00:27:45,560
Anything else you wanted
to ask at all?
571
00:27:48,800 --> 00:27:50,200
Look, he's in the right place, OK?
572
00:27:50,320 --> 00:27:51,640
These sort of things do happen
573
00:27:51,760 --> 00:27:54,416
and we're in the right place to get
this sorted out for him, alright?
574
00:27:54,440 --> 00:27:57,320
(LOW-LEVEL CONVERSATION)
575
00:27:58,440 --> 00:28:00,960
It's very likely that the artery
is totally blocked there
576
00:28:01,080 --> 00:28:03,280
so we're quickly going to do
an angiograph
577
00:28:03,400 --> 00:28:04,816
to find out which artery is blocked.
578
00:28:04,840 --> 00:28:07,680
And if there is a narrowing, we're
going to try and put a stent there.
579
00:28:07,800 --> 00:28:08,920
OK?
580
00:28:09,040 --> 00:28:12,480
A stent is a permanent scaffold
left inside the artery
581
00:28:12,600 --> 00:28:13,600
to keep it open.
582
00:28:13,720 --> 00:28:15,816
We're gonna go from the groin,
so we'll try to hurry up
583
00:28:15,840 --> 00:28:17,360
and speed up the process
to open it up.
584
00:28:18,760 --> 00:28:22,840
It's only ten minutes since Darryl
was unloaded from the ambulance.
585
00:28:22,960 --> 00:28:25,200
But after a kiss for luck
from his wife,
586
00:28:25,320 --> 00:28:28,000
the life-saving procedure must begin.
587
00:28:29,720 --> 00:28:31,480
(BOTH SPEAK INDISTINCTLY)
588
00:28:32,560 --> 00:28:36,560
Every moment lost, the more of
Darryl's heart muscle dies.
589
00:28:49,240 --> 00:28:53,720
Elaine was the innocent driver of a
car involved in a head-on collision.
590
00:28:53,840 --> 00:28:57,040
She's stable at this stage. We'll be
there probably about ten minutes.
591
00:28:57,160 --> 00:28:58,520
She suffered horrific injuries
592
00:28:58,640 --> 00:29:01,320
that needed to be fixed
in emergency surgery.
593
00:29:01,440 --> 00:29:05,000
She has actually shattered her
kneecap into many little pieces
594
00:29:05,120 --> 00:29:07,720
and our job is to restore this
best we can
595
00:29:07,840 --> 00:29:09,880
to get things back together
to where they should be.
596
00:29:18,280 --> 00:29:24,520
ELAINE: I've broken my ribs,
my sternum, my knee,
597
00:29:25,680 --> 00:29:28,800
the ankle, the leg,
598
00:29:28,920 --> 00:29:32,760
uh... and that's probably enough.
599
00:29:32,880 --> 00:29:36,360
But it's not the physical pain
she is necessarily wrestling with.
600
00:29:36,480 --> 00:29:40,920
Despite being given heavy daily doses
of morphine to combat her pain,
601
00:29:41,040 --> 00:29:43,960
nothing has dulled her memory
of the accident.
602
00:29:44,080 --> 00:29:46,320
Every now and then,
I wake up in the middle of the night
603
00:29:46,440 --> 00:29:50,360
and when I can't move, I think,
"I won't let them close my door."
604
00:29:50,480 --> 00:29:54,600
When I was in there with so many
people inside that car,
605
00:29:54,720 --> 00:29:56,760
too many people in my space,
606
00:29:56,880 --> 00:29:59,280
you know, I wanted to get everybody
away from me
607
00:29:59,400 --> 00:30:00,600
and just get up and walk away.
608
00:30:02,360 --> 00:30:04,360
And I sent my sister a text
609
00:30:04,480 --> 00:30:07,920
to say, "I am so happy today"
610
00:30:08,040 --> 00:30:12,360
and then, within an hour,
a lot of that went.
611
00:30:12,480 --> 00:30:15,200
(SIREN WAILS)
612
00:30:15,320 --> 00:30:18,760
Elaine has a long road to recovery
in front of her.
613
00:30:18,880 --> 00:30:20,480
(CRASH!)
614
00:30:23,440 --> 00:30:26,680
Doctors expect it will be at least
six weeks of rehab
615
00:30:26,800 --> 00:30:29,360
before she will even be able to stand
on her own.
616
00:30:31,120 --> 00:30:33,120
But at least she'll have her sister,
617
00:30:33,240 --> 00:30:36,600
who's flown in from New Zealand,
by her side.
618
00:30:36,720 --> 00:30:38,176
Could've painted your toenails
this morning.
619
00:30:38,200 --> 00:30:40,400
I know.
Really, honey.
620
00:30:40,520 --> 00:30:45,120
I know. When I'm walking, then I'm
gonna paint them in celebration.
621
00:30:45,240 --> 00:30:46,600
I reckon, eh.
I know.
622
00:30:46,720 --> 00:30:49,400
Another day and another new week.
623
00:30:49,520 --> 00:30:52,040
Yeah. And... Yeah, it's good.
624
00:31:06,200 --> 00:31:10,480
57-year-old office manager Darryl
is having a major heart attack
625
00:31:10,600 --> 00:31:11,800
known as a STEMI.
626
00:31:11,920 --> 00:31:15,120
The blood supply to Darryl's heart
is blocked
627
00:31:15,240 --> 00:31:17,480
and the muscle is dying
by the minute.
628
00:31:17,600 --> 00:31:19,440
We're quickly going to do
an angiograph
629
00:31:19,560 --> 00:31:21,240
to find out which artery is blocked.
630
00:31:21,360 --> 00:31:22,376
And if there is a narrowing,
631
00:31:22,400 --> 00:31:24,240
we're going to go and try
to put a stent there.
632
00:31:26,040 --> 00:31:29,040
Dr Rahman must find the blockage
and restore blood flow
633
00:31:29,160 --> 00:31:31,400
before Darryl's heart fails.
634
00:31:31,520 --> 00:31:33,160
And the whole, please.
635
00:31:35,080 --> 00:31:38,840
Using angiogram imaging
and a catheter fed in from the groin,
636
00:31:38,960 --> 00:31:42,640
it's possible to see exactly what's
going on inside Darryl's heart.
637
00:31:42,760 --> 00:31:45,760
Incredibly, he'll be wide awake
the whole time.
638
00:31:45,880 --> 00:31:47,656
It's gonna be a little bit pushing
in your groin.
639
00:31:47,680 --> 00:31:48,920
The tube is coming in.
640
00:31:49,040 --> 00:31:50,640
You shouldn't get any pain
or discomfort.
641
00:31:50,760 --> 00:31:52,640
If you do, please let us know.
642
00:31:52,760 --> 00:31:55,960
Straight away,
Dr Rahman finds the problem.
643
00:31:56,080 --> 00:31:58,360
Darryl, you don't smoke, do you?
644
00:31:58,480 --> 00:31:59,520
DARRYL: No.
OK.
645
00:31:59,640 --> 00:32:02,120
We're about to take the picture of
the right coronary artery.
646
00:32:02,240 --> 00:32:07,240
There is a narrow area.
Pressure, please.
647
00:32:07,360 --> 00:32:10,840
Take a gentle breathe in for me,
sir, and hold your breath there.
648
00:32:10,960 --> 00:32:13,360
OK. Breathe normally.
649
00:32:13,480 --> 00:32:17,880
It takes Dr Rahman just four minutes
to make the breakthrough.
650
00:32:18,000 --> 00:32:20,960
So the artery
that's most critically narrow,
651
00:32:21,080 --> 00:32:23,520
we'll go and try to
open that artery, OK?
652
00:32:23,640 --> 00:32:26,160
Darryl's heart is being starved
of blood.
653
00:32:26,280 --> 00:32:28,920
He could stop breathing
at any moment.
654
00:32:29,040 --> 00:32:33,040
This catheter wire is inside an
artery that should be full of blood
655
00:32:33,160 --> 00:32:34,240
and look more like this.
656
00:32:36,360 --> 00:32:39,680
Dr Rahman's years of experience
tells him to keep calm
657
00:32:39,800 --> 00:32:42,640
but get the blood vessel opened
as fast as possible.
658
00:32:42,760 --> 00:32:44,640
The patient can die on the table
659
00:32:44,760 --> 00:32:46,600
just from the complication
of the procedure.
660
00:32:46,720 --> 00:32:48,080
The patient can die
661
00:32:48,200 --> 00:32:50,520
from the complication
of the disease process itself.
662
00:32:50,640 --> 00:32:55,320
Fully conscious, Darryl has no idea
how close to death he is.
663
00:32:55,440 --> 00:32:57,360
You alright there, Darryl?
Yep, fine.
664
00:32:57,480 --> 00:32:59,120
Can I have the tool, please?
Yep.
665
00:32:59,240 --> 00:33:03,840
But his life can be saved using
a tiny mesh cylinder called a stent.
666
00:33:03,960 --> 00:33:06,120
It's fed in through
the femoral artery
667
00:33:06,240 --> 00:33:08,080
on the end of a fine wire.
668
00:33:08,200 --> 00:33:11,720
Can I have the rinato wire, thanks,
and the introducer, thank you?
669
00:33:17,280 --> 00:33:19,160
We're just gonna go
a little bit further.
670
00:33:19,280 --> 00:33:23,920
It's very important to keep calm and
quiet during a difficult procedure
671
00:33:24,040 --> 00:33:26,400
when the patient is very unwell.
672
00:33:26,520 --> 00:33:28,240
We'll take a picture, please.
673
00:33:28,360 --> 00:33:29,680
Thank you, yeah.
674
00:33:29,800 --> 00:33:32,680
You may get some chest pain.
We're inflating the balloon now.
675
00:33:32,800 --> 00:33:38,200
Once it's in place, Dr Rahman
inflates a balloon inside the stent.
676
00:33:38,320 --> 00:33:42,960
But will it be enough to open
Darryl's artery before it's too late?
677
00:33:53,000 --> 00:33:57,200
57-year-old Darryl has had the
classic wake-up call health scare.
678
00:33:57,320 --> 00:34:00,160
You may get some chest pain.
We're inflating the balloon now.
679
00:34:00,280 --> 00:34:04,160
Dr Rahman has just inflated a balloon
inside the stent,
680
00:34:04,280 --> 00:34:06,680
opening it to the size of the artery.
681
00:34:06,800 --> 00:34:09,200
If you go up there, please.
WOMAN: Going up now.
682
00:34:09,320 --> 00:34:10,760
Got it.
683
00:34:10,880 --> 00:34:12,840
The impact is immediate -
684
00:34:12,960 --> 00:34:16,840
from an empty blood vessel
to a full one in seconds.
685
00:34:16,960 --> 00:34:19,840
So the artery looks open now.
Mm-hm.
686
00:34:19,960 --> 00:34:21,320
Show me there, please.
687
00:34:23,520 --> 00:34:25,400
Darryl, the artery's
nicely open now.
688
00:34:25,520 --> 00:34:27,200
We're just gonna do
some fine-tuning.
689
00:34:27,320 --> 00:34:29,400
Is there still a little bit of pain
or is it gone?
690
00:34:29,520 --> 00:34:30,520
Yes.
691
00:34:30,560 --> 00:34:32,400
It should start to ease off
very soon. Yeah.
692
00:34:32,520 --> 00:34:38,120
And with that, Dr Rahman has finished
another life-saving surgery -
693
00:34:38,240 --> 00:34:39,960
in record time.
694
00:34:40,080 --> 00:34:41,560
Everything went very well.
695
00:34:41,680 --> 00:34:44,600
We did the total procedure from
the time he came into the hospital
696
00:34:44,720 --> 00:34:45,760
in 23 minutes,
697
00:34:45,880 --> 00:34:48,640
so that's gonna save
a lot of his heart muscle.
698
00:34:48,760 --> 00:34:52,480
It's very rewarding to see
a very sick patient coming to us
699
00:34:52,600 --> 00:34:53,640
and we intervened
700
00:34:53,760 --> 00:34:55,640
and straight away,
they're totally different.
701
00:34:55,760 --> 00:34:56,920
They feel so much better.
702
00:34:58,680 --> 00:34:59,680
No. That's good.
703
00:34:59,720 --> 00:35:02,320
But Darryl isn't
out of the woods yet.
704
00:35:02,440 --> 00:35:04,080
There is some damage
in your heart muscle
705
00:35:04,200 --> 00:35:05,600
we can see from the heart attack.
706
00:35:05,720 --> 00:35:09,680
I always tell my patients,
"We have stented your artery.
707
00:35:09,800 --> 00:35:12,040
"That's not the end
of the problem.
708
00:35:12,160 --> 00:35:14,840
"The disease process, you have to
work and improve that
709
00:35:14,960 --> 00:35:18,200
"by lifestyle changes and by taking
medication regularly."
710
00:35:23,480 --> 00:35:27,560
♪ What if I lose my self-control?
711
00:35:27,680 --> 00:35:31,200
♪ What if I choose to let it go?
712
00:35:31,320 --> 00:35:35,240
♪ I wanna let you and me
collide... ♪
713
00:35:35,360 --> 00:35:38,520
Two months down the road,
Darryl has made the changes
714
00:35:38,640 --> 00:35:41,200
and is starting to enjoy
the benefits.
715
00:35:41,320 --> 00:35:45,520
DARRYL: And the weight I've lost
is probably about 6kg. I feel great.
716
00:35:45,640 --> 00:35:48,360
The change was just so easy.
I had to roll with it.
717
00:35:48,480 --> 00:35:50,880
I've got, you know,
a ten-year-old son, my wife,
718
00:35:51,000 --> 00:35:53,000
you know, I had to think
of them as well
719
00:35:53,120 --> 00:35:55,040
and make these changes
and make it all happen.
720
00:35:55,160 --> 00:35:57,320
Yeah. Eddie, you start feeding 'em.
721
00:35:57,440 --> 00:36:02,400
♪ What if I lose my self-control?
What if I choose to let it go? ♪
722
00:36:02,520 --> 00:36:06,640
If I go back to my old ways
of all the fatty foods and that,
723
00:36:06,760 --> 00:36:08,800
I'm not gonna be here in five years
724
00:36:08,920 --> 00:36:12,040
and that's why it's so important to
keep up with your healthy eating
725
00:36:12,160 --> 00:36:14,120
and your exercise, you know,
726
00:36:14,240 --> 00:36:17,280
listen to what the doctors
have said to me, you know,
727
00:36:17,400 --> 00:36:18,600
and just carry on with it.
728
00:36:18,720 --> 00:36:23,720
The end result is I'm here,
made the changes
729
00:36:23,840 --> 00:36:27,160
and looking forward to many years
in the future.
730
00:36:29,160 --> 00:36:32,440
♪ These wings were made to fly. ♪
731
00:36:41,280 --> 00:36:44,040
Same-sex partners Carly and Alee Jane
732
00:36:44,160 --> 00:36:49,600
never lost sight of what they wanted
from day one - a family.
733
00:36:49,720 --> 00:36:51,520
The nursery's been done forever.
734
00:36:51,640 --> 00:36:54,560
Everything's done.
I've got my birth plan done.
735
00:36:54,680 --> 00:36:57,440
The car seat's in the car.
736
00:36:57,560 --> 00:37:00,400
But each IVF attempt
over the past two and a half years
737
00:37:00,520 --> 00:37:02,360
was met with heartache.
738
00:37:02,480 --> 00:37:04,440
Took so long.
It's not just nine months.
739
00:37:04,560 --> 00:37:07,040
Not an accident. It's just so hard.
740
00:37:07,160 --> 00:37:08,640
You just feel crap about it.
741
00:37:08,760 --> 00:37:11,880
And then, when it happens,
it's just insane. Insane.
742
00:37:12,000 --> 00:37:13,200
Can't even explain it.
743
00:37:13,320 --> 00:37:17,680
Today, Alee Jane and Carly are
finally realising their dream.
744
00:37:17,800 --> 00:37:20,520
Carly is in the final stages
of labour.
745
00:37:20,640 --> 00:37:22,176
CARLY: I was in the bath
for a little while
746
00:37:22,200 --> 00:37:24,056
and that kind of really slowed
my contractions down.
747
00:37:24,080 --> 00:37:26,240
So she got me out
and as soon as I got out,
748
00:37:26,360 --> 00:37:29,040
I just felt this urge
to start pushing.
749
00:37:29,160 --> 00:37:31,000
(MOANS)
750
00:37:31,120 --> 00:37:33,360
WOMAN: Ew, that'll be
a baby any time.
751
00:37:33,480 --> 00:37:34,960
Holy cow.
752
00:37:35,080 --> 00:37:37,920
(LAUGHS)
Go, you good thing.
753
00:37:38,040 --> 00:37:40,200
Oh, that is so a baby.
754
00:37:40,320 --> 00:37:41,840
The rest is over there...
755
00:37:41,960 --> 00:37:43,880
With things progressing rapidly,
756
00:37:44,000 --> 00:37:46,720
it's time for Carly to get into
a more comfortable spot
757
00:37:46,840 --> 00:37:48,400
for the final push.
758
00:37:48,520 --> 00:37:51,440
And the new position
isn't the only change.
759
00:37:51,560 --> 00:37:57,240
Ellen's shift is now over, so midwife
Cassie Dulerat is stepping in.
760
00:37:57,360 --> 00:37:59,440
Even if I get a mat
or something for you...
761
00:37:59,560 --> 00:38:00,856
Yeah, just move from here to there.
762
00:38:00,880 --> 00:38:03,240
Yeah. Do you want to
do that instead?
763
00:38:04,760 --> 00:38:06,000
(MOANS)
764
00:38:09,640 --> 00:38:11,080
(MOANS)
765
00:38:14,760 --> 00:38:17,080
Yeah, almost here.
You're doing so good, Carly.
766
00:38:17,200 --> 00:38:21,640
At this point, all girlfriend
Alee Jane can do is be there
767
00:38:21,760 --> 00:38:23,320
to help her through the pain.
768
00:38:23,440 --> 00:38:28,280
ALEE JANE: I thought it'd be really
scary but it was calm and peaceful
769
00:38:28,400 --> 00:38:30,280
and she was doing it like a pro.
770
00:38:30,400 --> 00:38:32,040
I'm so proud of her.
771
00:38:33,640 --> 00:38:35,440
(MOANS AND PANTS)
772
00:38:37,120 --> 00:38:38,800
Oooh.
773
00:38:42,760 --> 00:38:44,400
That's it, Carly.
You're doing well, darl.
774
00:38:44,520 --> 00:38:46,480
Your waters just broke, darl,
775
00:38:46,600 --> 00:38:49,440
so things might come
a little bit quicker now, OK?
776
00:38:49,560 --> 00:38:52,320
Baby Oakland is on his way.
777
00:38:52,440 --> 00:38:54,040
Whoop, a bit of hair there.
778
00:38:54,160 --> 00:38:56,360
Yeah, got a bit of hair there,
Carly, coming out.
779
00:38:56,480 --> 00:38:58,680
(MOANS)
Oh, my god, she's biting me.
780
00:38:58,800 --> 00:39:00,960
That's it, darling. You're alright.
You're doing great.
781
00:39:01,080 --> 00:39:02,760
(YELPS)
782
00:39:02,880 --> 00:39:04,840
Here comes his head.
783
00:39:04,960 --> 00:39:06,880
(YELPS)
Yes.
784
00:39:13,280 --> 00:39:16,000
So, next one, the baby's
gonna come out, OK, darling?
785
00:39:16,120 --> 00:39:17,680
That's the hardest bit, alright?
786
00:39:17,800 --> 00:39:19,680
The head's out, Carly.
Yep.
787
00:39:19,800 --> 00:39:21,720
After four rounds of IVF,
788
00:39:21,840 --> 00:39:23,880
with her mum Sandy by her side
789
00:39:24,000 --> 00:39:26,840
and clutching onto her life partner
Alee Jane,
790
00:39:26,960 --> 00:39:31,400
Carly's African-American baby boy
Oakland comes into the world.
791
00:39:31,520 --> 00:39:33,000
(YELPS)
792
00:39:34,400 --> 00:39:36,680
Here he is.
He's out.
793
00:39:36,800 --> 00:39:38,760
(YELPS)
794
00:39:38,880 --> 00:39:40,000
(BABY CRIES)
795
00:39:40,120 --> 00:39:41,120
Oh!
796
00:39:43,240 --> 00:39:47,920
Oh, my god! He's so cute.
797
00:39:48,040 --> 00:39:49,600
Hey, gorgeous.
798
00:39:49,720 --> 00:39:52,040
You did it. You're so good.
799
00:39:54,280 --> 00:39:55,320
(BABY CRIES)
800
00:39:55,440 --> 00:39:57,960
NARRATOR: And while it's not
the water birth she hoped to have,
801
00:39:58,080 --> 00:40:01,360
it's the miracle she had always
wished for.
802
00:40:01,480 --> 00:40:02,600
(BABY CRIES)
803
00:40:02,720 --> 00:40:05,960
You alright?
You did amazing, didn't ya?
804
00:40:06,080 --> 00:40:09,360
Oh, my god. I love you.
Thank you, darling.
805
00:40:09,480 --> 00:40:12,080
You were just so amazing,
weren't ya?
806
00:40:12,200 --> 00:40:14,920
He's so cute. I love you.
807
00:40:18,080 --> 00:40:19,480
I'm so happy with how it went.
808
00:40:19,600 --> 00:40:22,440
The midwives were amazing
and my mum was there the whole time.
809
00:40:22,560 --> 00:40:25,600
She got to sit next to me
and see him come out,
810
00:40:25,720 --> 00:40:28,680
so it was special to share it
with her and...
811
00:40:28,800 --> 00:40:33,360
SANDY: I'm just glad Carly
let me share with her this moment
812
00:40:33,480 --> 00:40:36,016
because everything that they've been
through, it's extra special.
813
00:40:36,040 --> 00:40:39,000
So, yeah, very proud of Carly.
814
00:40:39,120 --> 00:40:41,920
(LAUGHS)
815
00:40:43,600 --> 00:40:45,881
Now he's crying. Get a photo.
SANDY: He is dark, isn't he?
816
00:40:45,960 --> 00:40:50,600
CASSIE: Yeah, he is
gonna be quite dark. Aw!
817
00:40:50,720 --> 00:40:52,760
His lips are huge.
818
00:40:52,880 --> 00:40:56,040
OK, do youse wanna get in
a bit closer together?
819
00:40:56,160 --> 00:40:59,280
Carly, stop crying.
Shut up!
820
00:40:59,400 --> 00:41:01,400
There's something in my eye.
821
00:41:01,520 --> 00:41:03,040
Oh, I look like crap.
822
00:41:03,160 --> 00:41:06,080
Look at him. So you can see him
looking and everything.
823
00:41:06,200 --> 00:41:07,200
He's so cute.
824
00:41:07,280 --> 00:41:13,200
♪ Help I have done it again
825
00:41:15,040 --> 00:41:17,440
♪ I have been... ♪
826
00:41:17,560 --> 00:41:18,920
I wanna hold his finger.
827
00:41:19,040 --> 00:41:20,600
OK. You hold his finger.
828
00:41:21,840 --> 00:41:23,080
Are you gonna hold my finger?
829
00:41:23,200 --> 00:41:24,960
(HALF-LAUGHS)
830
00:41:25,080 --> 00:41:26,440
He's pretty cute.
831
00:41:28,080 --> 00:41:30,960
You're about a seven.
(LAUGHS)
832
00:41:31,080 --> 00:41:33,160
CARLY: It's been such
a long time coming,
833
00:41:33,280 --> 00:41:37,520
you know, two and a half years of
IVF and miscarriages
834
00:41:37,640 --> 00:41:40,680
and not ever knowing
if I'd even become a mum.
835
00:41:40,800 --> 00:41:43,360
That's... That's pretty special.
836
00:41:46,200 --> 00:41:47,760
But, yeah, it's amazing.
837
00:41:47,880 --> 00:41:49,880
Yeah, I'm so glad he's here.
838
00:41:50,000 --> 00:41:51,200
I was freaking out.
839
00:41:51,320 --> 00:41:52,456
Like, I've been having nightmares
840
00:41:52,480 --> 00:41:54,960
that he was gonna be stillborn
or something.
841
00:41:55,080 --> 00:41:57,560
I just thought, you know,
it can't possibly happen
842
00:41:57,680 --> 00:41:59,840
'cause we've just...
we've just had so many knockbacks
843
00:41:59,960 --> 00:42:02,880
and, yeah, he's perfectly healthy.
844
00:42:09,720 --> 00:42:13,760
♪ And breathe me. ♪
68017
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