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WOMAN: Ambulance.
What's the emergency?
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00:00:02,640 --> 00:00:04,040
MAN: It's a shark attack.
OK.
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00:00:04,160 --> 00:00:05,160
Yeah.
OK.
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00:00:05,280 --> 00:00:07,040
NARRATOR: The Gold Coast,
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00:00:07,160 --> 00:00:11,520
where the lights burn bright
and the sunshine never ends.
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00:00:11,640 --> 00:00:14,040
While many Aussies call it home...
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00:00:15,440 --> 00:00:18,560
every year, 12 million tourists
come to play
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00:00:18,680 --> 00:00:21,560
on this stretch of golden coastline.
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00:00:21,680 --> 00:00:25,320
MAN: We received a call. There's a
man who's been shot in the abdomen.
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00:00:25,440 --> 00:00:27,016
The bullet has hit a number
of big veins.
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00:00:27,040 --> 00:00:28,440
(SIREN WAILS)
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00:00:28,560 --> 00:00:30,720
But the good times
can often turn ugly...
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00:00:30,840 --> 00:00:34,640
Steve, where are you at the moment,
mate?
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00:00:34,760 --> 00:00:37,560
..and when they do...
Can you feel me tickling your thumb?
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00:00:37,680 --> 00:00:40,680
..these are the people you want
on your side.
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00:00:40,800 --> 00:00:44,080
It looks bad to me,
but you just have to trust.
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00:00:44,200 --> 00:00:45,840
He's a brave little thing.
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00:00:45,960 --> 00:00:48,800
Whether you're just visiting
or you live here...
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00:00:48,920 --> 00:00:52,600
My baby's life is going to be
cut shorter because of this.
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00:00:52,720 --> 00:00:55,640
I'm just worried about
my two children.
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00:00:55,760 --> 00:00:57,240
She can't be replaced.
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00:00:57,360 --> 00:00:59,640
..these are the real stories...
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00:00:59,760 --> 00:01:01,080
He was gonna kill me.
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00:01:01,200 --> 00:01:03,560
..of the cutting-edge
medical teams...
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00:01:03,680 --> 00:01:05,720
MAN: 51-year-old fellow
bitten by a shark.
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00:01:05,840 --> 00:01:08,120
Had a massive bite to his thigh.
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00:01:08,240 --> 00:01:09,640
..who pick you up...
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00:01:09,760 --> 00:01:12,240
Go and cheer Mummy up and then
I'll come for a cuddle soon.
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00:01:12,360 --> 00:01:14,320
..patch you up...
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Superpower.
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00:01:16,480 --> 00:01:19,840
The fairy dust's very magical
and it fixes all sorts of things.
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00:01:19,960 --> 00:01:22,880
..and put you back in paradise.
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00:01:24,560 --> 00:01:26,120
Where else would you rather be?
(LAUGHS)
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00:01:28,680 --> 00:01:31,120
Tonight on Gold Coast Medical,
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00:01:31,240 --> 00:01:34,760
a former champion boxer faces
his toughest opponent.
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00:01:34,880 --> 00:01:36,680
MAN: I'll never get that image
out of my head,
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00:01:36,720 --> 00:01:39,520
about this shark
latching onto my thigh,
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00:01:39,640 --> 00:01:42,800
chewing away, you know, trying to...
(IMITATES GNAWING)
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00:01:42,920 --> 00:01:44,440
and just going to town on me leg.
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00:01:44,560 --> 00:01:46,600
And he fought back
with just one punch.
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00:01:46,720 --> 00:01:50,440
Not many people can, you know,
take a nine-foot white pointer
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00:01:50,560 --> 00:01:51,760
and live to tell the tale.
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00:01:51,880 --> 00:01:55,280
A nervous mum waits for answers
about her tiny baby.
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00:01:55,400 --> 00:01:57,880
She's having periods of between
30 seconds and a minute
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00:01:58,000 --> 00:01:59,016
where she's not breathing.
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00:01:59,040 --> 00:02:01,000
So it's petrifying for parents.
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00:02:01,120 --> 00:02:03,320
WOMAN: I just don't fit
the stereotype.
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00:02:03,440 --> 00:02:06,120
And the first female brain surgeon
in Queensland
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00:02:06,240 --> 00:02:09,920
uses an unorthodox method
to sharpen her skills.
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00:02:10,040 --> 00:02:11,520
I love all those computer games,
51
00:02:11,640 --> 00:02:16,040
from Mario Kart,
to World Of Warcraft to Pokemon.
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00:02:21,000 --> 00:02:26,760
♪ I've been waiting for all my life
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00:02:26,880 --> 00:02:30,280
♪ Now I'm ready Ready, machete
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00:02:30,400 --> 00:02:32,640
♪ Watch me fly... ♪
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00:02:32,760 --> 00:02:36,840
Gold Coast University Hospital's
head of orthopaedics
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00:02:36,960 --> 00:02:39,040
is Professor Randy Bindra.
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00:02:39,160 --> 00:02:42,000
'Professor' generally means
someone who's very smart...
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00:02:42,120 --> 00:02:43,480
No, not really. (LAUGHS)
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00:02:43,600 --> 00:02:47,120
'Professor' really means that
Randy has a secret teaching role
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00:02:47,240 --> 00:02:49,280
in the lecture theatre
and in the operating theatre.
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00:02:49,320 --> 00:02:54,480
Surgeons come from all over the world
to complete their speciality training
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00:02:54,600 --> 00:02:56,320
at this buzzing new hospital.
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00:02:56,440 --> 00:02:57,880
I think the commonest mistake
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00:02:58,000 --> 00:03:00,360
is people give the block
right before starting.
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00:03:00,480 --> 00:03:02,520
And then it's not long enough,
right?
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00:03:02,640 --> 00:03:04,560
It's a very international hospital.
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00:03:04,680 --> 00:03:06,560
Everybody I interact with
or work with
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00:03:06,680 --> 00:03:07,680
has some different story,
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00:03:07,760 --> 00:03:10,080
so it's largely a mixed population
of people
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00:03:10,200 --> 00:03:11,456
with different ideas
and backgrounds,
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00:03:11,480 --> 00:03:13,480
so it's a very fun place to work.
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00:03:13,600 --> 00:03:17,640
Randy regularly works alongside
London-born plastic surgeon
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00:03:17,760 --> 00:03:19,480
Dr Raja Sawhney.
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00:03:19,600 --> 00:03:22,560
The pair are deep in
a hand reconstruction
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00:03:22,680 --> 00:03:25,880
when Randy gets a call from a doctor
at a regional hospital.
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00:03:27,280 --> 00:03:28,320
Hi. How's it going?
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00:03:28,440 --> 00:03:30,400
MAN: (ON PHONE)
Well, could be better.
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00:03:30,520 --> 00:03:32,800
Lismore Hospital has
a seriously ill patient
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00:03:32,920 --> 00:03:34,840
who urgently needs Randy's help.
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00:03:34,960 --> 00:03:38,160
Yeah, a 51-year-old fellow
who's been bitten by a shark.
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00:03:39,880 --> 00:03:41,800
Had a massive bite to his thigh
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00:03:41,920 --> 00:03:45,680
but also sustained several
lacerations to his left hand.
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00:03:45,800 --> 00:03:48,040
The most significant one
is one that is...
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00:03:48,160 --> 00:03:52,280
Alright. Is he stable enough to
shift him over or is he...?
85
00:03:52,400 --> 00:03:53,856
He would be stable enough,
definitely, yeah.
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00:03:53,880 --> 00:03:55,280
Alright. Cheers.
87
00:03:55,400 --> 00:03:59,120
Sharks are now attacking one surfer
a week along the east coast
88
00:03:59,240 --> 00:04:01,440
as these predators prey closer
to shore.
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00:04:01,560 --> 00:04:05,320
This is the second man mauled by
a four-metre monster
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00:04:05,440 --> 00:04:07,800
transferred to the Gold Coast
University Hospital
91
00:04:07,920 --> 00:04:08,960
in the last month.
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00:04:09,080 --> 00:04:11,600
Oh, yeah, I only moved to this
country, like, nine months ago
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00:04:11,720 --> 00:04:13,560
so I saw my first one last month
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00:04:13,680 --> 00:04:16,440
and now I've seen the second one
real soon, so...
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00:04:16,560 --> 00:04:17,800
My mates in the States,
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00:04:17,920 --> 00:04:19,640
I keep telling them I'm treating
shark bites
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00:04:19,720 --> 00:04:20,736
and they can't believe it.
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00:04:20,760 --> 00:04:23,360
I'm gonna become a shark expert
by the end of this month, I think.
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00:04:34,800 --> 00:04:36,200
The director of neurosurgery
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00:04:36,320 --> 00:04:38,640
is not just your average
everyday brain surgeon.
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00:04:38,760 --> 00:04:40,640
WOMAN: I just don't fit
the stereotype.
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00:04:40,760 --> 00:04:43,560
You know, and even to this day,
if I have a male registrar
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00:04:43,680 --> 00:04:46,400
who's, you know,
a foot taller than me and male,
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00:04:46,520 --> 00:04:50,120
you know, the patients will look
to them as the first thing.
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00:04:50,240 --> 00:04:52,840
OK. Let's have a look.
Whoa, there we go.
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00:04:52,960 --> 00:04:56,320
Dr Teresa Withers,
known as 'T-Kay' around the hospital,
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00:04:56,440 --> 00:04:59,400
was Queensland's first
female brain surgeon.
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Squeeze my fingers.
Whoa, not too tight. No... (LAUGHS)
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00:05:02,040 --> 00:05:05,280
When I first started,
it was very male-dominated.
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00:05:05,400 --> 00:05:08,200
I could fill a book of the comments
that were made to me.
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00:05:08,320 --> 00:05:11,081
You'll be able to wash your hair.
They'll take that off for you today.
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00:05:11,160 --> 00:05:13,136
I don't make an issue of it,
'cause I think if you're good,
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00:05:13,160 --> 00:05:14,176
people will know you're good.
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00:05:14,200 --> 00:05:17,280
He'll need definitely an ICU bed,
yeah, or HDU bed.
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00:05:17,400 --> 00:05:20,760
T-Kay has kept pretty busy training
new brain surgeons,
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00:05:20,880 --> 00:05:22,880
helping her own three kids
with their studies
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00:05:23,000 --> 00:05:25,160
and knocking off a master's degree.
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00:05:25,280 --> 00:05:29,400
Somehow she still finds
plenty of time for her patients.
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00:05:29,520 --> 00:05:31,480
Obviously, with her brace
and things,
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00:05:31,600 --> 00:05:33,736
we'll need to have a bit of a think
of how that's gonna be,
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00:05:33,760 --> 00:05:36,720
but just another bit of a chapter
to add to her story, hey?
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00:05:36,840 --> 00:05:38,640
I like to know my patients.
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00:05:38,760 --> 00:05:41,800
They often tell me their stories
they know about their families.
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00:05:41,920 --> 00:05:44,520
Alright, champions.
We'll see how we go, OK?
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00:05:44,640 --> 00:05:47,320
And that's just the way
that I practise.
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00:05:47,440 --> 00:05:49,640
Hello. Long journey.
Yes.
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00:05:49,760 --> 00:05:51,800
Am I going through tomorrow?
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00:05:51,920 --> 00:05:53,280
Absolutely. Yep.
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00:05:53,400 --> 00:05:58,640
T-Kay's next patient is 60-year-old
call centre worker Love.
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00:05:58,760 --> 00:06:04,080
About six years ago, I started to
get headaches, nausea
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00:06:04,200 --> 00:06:08,160
and I have very high blood pressure
and they keep wondering why.
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00:06:08,280 --> 00:06:10,000
OK, so we put the helmet on now.
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00:06:10,120 --> 00:06:12,240
And that's the part that takes
all the pictures.
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00:06:12,360 --> 00:06:14,160
That's the antenna. OK?
135
00:06:14,280 --> 00:06:16,920
Recent MRI scans revealed
the shocking truth -
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00:06:17,040 --> 00:06:21,040
Love has a tumour the size of
an apple growing in her brain.
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00:06:22,320 --> 00:06:25,640
The tumour is this large white area
here,
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which has taken up the contrast
agent that we've injected
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00:06:28,800 --> 00:06:31,520
and that's why it's now showing up
bright on the image.
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00:06:31,640 --> 00:06:34,800
To get to that size, I know it has
to happen very slow-growing,
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00:06:34,920 --> 00:06:37,320
'cause otherwise, you know,
if something suddenly happens,
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00:06:37,440 --> 00:06:38,536
like, if you bleed in that area,
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you'll be unconscious and you'll
have stroke-like problems,
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so this has been slowly, slowly
growing over her lifetime.
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00:06:44,560 --> 00:06:45,600
I can walk now?
Yep.
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00:06:45,720 --> 00:06:48,600
The giant tumour could have been
shedding cancer cells
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00:06:48,720 --> 00:06:51,160
into love's bloodstream for years.
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A biopsy during tomorrow's
long, difficult removal
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00:06:55,480 --> 00:06:57,600
will find out if it's malignant.
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00:07:00,800 --> 00:07:03,880
I know I'm gonna die, right,
if it's malignant.
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00:07:04,000 --> 00:07:08,840
I've gotten rid of most things,
half of the things at home already.
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00:07:08,960 --> 00:07:10,960
I've given them away.
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00:07:11,080 --> 00:07:14,000
I'm just worried about
my two children.
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They're the ones...
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00:07:17,200 --> 00:07:18,816
The other one is disabled -
I look after him.
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00:07:18,840 --> 00:07:24,640
And I arranged that he gets
looked after after me
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with a housing commission place
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'cause he's got nowhere to stay.
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00:07:28,920 --> 00:07:33,320
He cries every day. The other one is
in Cambodia. He's the younger one.
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00:07:33,440 --> 00:07:34,440
He's saying...
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he can't leave because he's working.
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00:07:41,800 --> 00:07:44,600
Love's life
and that of her handicapped son
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are now in the hands of Dr T-Kay.
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00:08:01,880 --> 00:08:03,720
It's early Sunday morning
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00:08:03,840 --> 00:08:05,760
and the most recent shark victim
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00:08:05,880 --> 00:08:08,240
has been transferred
from Lismore Hospital.
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00:08:08,360 --> 00:08:12,120
REPORTER: The shark sank its teeth
into Craig's thigh and his board,
168
00:08:12,240 --> 00:08:14,920
leaving behind a 40cm bite mark.
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00:08:15,040 --> 00:08:16,920
His board's flipped up.
He's gone in the water.
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00:08:17,040 --> 00:08:18,040
A tail's been thrashing.
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But the former boxer fought back.
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He's got a couple of punches in
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and he's got damage to his hand
as a result of that.
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00:08:26,080 --> 00:08:28,160
Craig is lucky to be alive
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00:08:28,280 --> 00:08:30,560
and remarkably,
he's able to tell his story
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while being prepped
for his morning surgery.
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His head would've been
that (BLEEP) wide,
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with the sharpest teeth
you could possibly imagine
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digging into me...
(IMITATES GNAWING) like that.
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00:08:47,400 --> 00:08:50,000
Oh, you bastard. Boom!
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I got to fight to survive.
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So, well, I hit him.
To kill or be killed.
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He was gonna kill me.
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If I didn't hit him, I was dead.
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00:09:01,760 --> 00:09:05,280
What do I do?
Just let it chew me leg?
186
00:09:05,400 --> 00:09:07,760
No! I had to hit the bugger.
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00:09:07,880 --> 00:09:10,760
So I hit him. He let go.
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(LAUGHS) You beauty.
189
00:09:12,520 --> 00:09:13,800
"See if you can paddle in.
190
00:09:13,920 --> 00:09:16,800
"Hoo-hoo-hoo-hoo-hoo-hoo-hoo-hoo.
191
00:09:16,920 --> 00:09:19,480
"Ooh, made it, made it,
made it, made it."
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00:09:20,560 --> 00:09:22,240
As well as the hand injury,
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00:09:22,360 --> 00:09:26,360
51-year-old Craig copped
a massive bite to the left thigh.
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00:09:26,480 --> 00:09:28,040
Such is the extent of the damage,
195
00:09:28,160 --> 00:09:31,720
Professor Randy Bindra has called in
a crack team.
196
00:09:31,840 --> 00:09:36,240
At Lismore, they did a great job in
restoring circulation to the hand,
197
00:09:36,360 --> 00:09:38,160
so they took care of
the immediate problem.
198
00:09:38,280 --> 00:09:40,640
Now what's left for us
to take care of
199
00:09:40,760 --> 00:09:43,240
are the damaged tendons and nerves
in the hand.
200
00:09:43,360 --> 00:09:44,536
MAN: Good to see you again, Doc.
201
00:09:44,560 --> 00:09:45,560
Good to be here, mate.
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00:09:45,640 --> 00:09:47,960
Nowhere else I'd rather be.
(MEN LAUGH)
203
00:09:48,080 --> 00:09:50,720
Beautiful Sunday on a yacht fest?
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00:09:50,840 --> 00:09:53,240
Luckily there's many of them, so...
Yeah. (LAUGHS)
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00:09:54,360 --> 00:09:55,760
Craig.
How are you?
206
00:09:55,880 --> 00:09:57,320
Francois.
207
00:09:57,440 --> 00:10:00,400
Dr Francois Tudor
is a lower-limb trauma surgeon.
208
00:10:04,880 --> 00:10:07,400
He'll be tackling the big bite
in the leg
209
00:10:07,520 --> 00:10:11,280
while at the same time
Randy finds out how many tendons
210
00:10:11,400 --> 00:10:13,000
are severed in Craig's hand.
211
00:10:13,120 --> 00:10:15,960
There's nine tendons, two arteries,
two nerves.
212
00:10:16,080 --> 00:10:18,960
It's gone through everything,
down to bone
213
00:10:20,080 --> 00:10:25,120
On Craig's leg, the giant shark bite
marks are inescapable.
214
00:10:25,240 --> 00:10:29,200
You can see the difference
between skin that's healthy here
215
00:10:29,320 --> 00:10:31,440
and this skin has just lost
its blood supply,
216
00:10:31,560 --> 00:10:33,640
so it's dark and mottled
217
00:10:33,760 --> 00:10:37,400
and there as well, so that's not
gonna heal - it's dead already.
218
00:10:37,520 --> 00:10:39,360
So there's no point keeping it,
unfortunately.
219
00:10:39,480 --> 00:10:41,280
And there's another serious threat -
220
00:10:41,400 --> 00:10:43,840
the shark may have severed
the sciatic nerve.
221
00:10:43,960 --> 00:10:48,400
Without that nerve, your whole leg
is paralysed and numb
222
00:10:48,520 --> 00:10:51,320
and it almost ends up getting
amputated if you lose that nerve.
223
00:10:59,920 --> 00:11:01,640
(LAID-BACK POP MUSIC PLAYS)
224
00:11:12,040 --> 00:11:13,696
DR WITHERS: Hello there.
LOVE: Hello. How are you?
225
00:11:13,720 --> 00:11:15,480
I'm very well. Did you sleep OK?
226
00:11:15,600 --> 00:11:17,120
Yes, until 2:30.
227
00:11:17,240 --> 00:11:19,480
OK. 2:30. Poor thing.
228
00:11:19,600 --> 00:11:23,080
60-year-old Love has a large tumour
in her brain
229
00:11:23,200 --> 00:11:27,520
and today the hospital's director of
neurosurgery, Dr T-Kay Withers,
230
00:11:27,640 --> 00:11:29,120
will try to remove it.
231
00:11:29,240 --> 00:11:31,480
Alright, hon, we'll see you
in there, OK?
232
00:11:31,600 --> 00:11:32,640
Thank you.
233
00:11:32,760 --> 00:11:36,360
These are always a tricky tumour,
given the size that they are
234
00:11:36,480 --> 00:11:39,400
and in the past carried
a very, very high mortality.
235
00:11:41,480 --> 00:11:45,200
To get this big, the tumour must have
been growing for years
236
00:11:45,320 --> 00:11:47,760
and there's a chance it could've been
spreading cancer cells
237
00:11:47,880 --> 00:11:49,080
into Love's bloodstream.
238
00:11:49,200 --> 00:11:51,360
That's the back of the brain.
239
00:11:51,480 --> 00:11:56,080
And that's her balance centre, OK,
the cerebellum, which is this bit.
240
00:11:56,200 --> 00:11:59,680
And this is the tumour here
after we've given her the dye.
241
00:11:59,800 --> 00:12:01,320
Well, we'll see you soon.
242
00:12:01,440 --> 00:12:03,240
I hope so.
243
00:12:03,360 --> 00:12:05,880
(LAUGHS) I hope so.
244
00:12:08,240 --> 00:12:12,400
Love's balance and memory could be
affected by removing the giant tumour
245
00:12:12,520 --> 00:12:15,560
but there's no way of knowing exactly
how the brain will cope.
246
00:12:15,680 --> 00:12:18,320
Neurosurgery is high-risk
247
00:12:18,440 --> 00:12:20,320
and I always say neurosurgery
keeps you humble.
248
00:12:22,240 --> 00:12:24,000
Alright, let's have a look.
249
00:12:24,120 --> 00:12:26,920
Those rubber dots on Love's scalp
are data points
250
00:12:27,040 --> 00:12:30,840
that have been used to make
a 3-D model of her head.
251
00:12:32,720 --> 00:12:34,720
Transverse sort of there. Yep.
252
00:12:34,840 --> 00:12:37,840
The computer pointer acts like
a GPS navigator
253
00:12:37,960 --> 00:12:40,840
to link the outside to
scans of the inside.
254
00:12:40,960 --> 00:12:42,336
That's how we're planning
the incision,
255
00:12:42,360 --> 00:12:45,280
so you need to do an incision
that will open up enough
256
00:12:45,400 --> 00:12:48,280
so that we can do a window of bone
and actually get to the tumour.
257
00:12:48,400 --> 00:12:51,280
Learning to use the magic pointer
in surgery
258
00:12:51,400 --> 00:12:54,840
was second nature to gadget geek
T-Kay.
259
00:12:54,960 --> 00:12:57,480
I game, so I love all those
computer games,
260
00:12:57,600 --> 00:13:02,600
from Mario Kart,
to World Of Warcraft to Pokemon.
261
00:13:02,720 --> 00:13:03,736
I play all of those things.
262
00:13:03,760 --> 00:13:05,296
And I played them all the time
with the kids.
263
00:13:05,320 --> 00:13:06,840
Should get us in, shouldn't it?
264
00:13:06,960 --> 00:13:09,320
I think, for a surgeon,
the eye-hand coordination -
265
00:13:09,440 --> 00:13:12,400
at least, that's what I'm telling
myself - it's very good for.
266
00:13:14,160 --> 00:13:16,880
The surgical team takes two hours
to open the skin and muscle layers
267
00:13:18,000 --> 00:13:19,000
above the tumour site.
268
00:13:20,400 --> 00:13:24,800
But the second they do,
T-Kay spots bad news.
269
00:13:32,440 --> 00:13:34,960
(SIREN WAILS)
270
00:13:35,080 --> 00:13:36,736
WOMAN: (ON PHONE) Ambulance.
What is the emergency?
271
00:13:36,760 --> 00:13:38,920
MAN: (ON PHONE) Yeah, we've got
a new-born baby.
272
00:13:39,040 --> 00:13:41,480
So, she's seven weeks old.
She's really struggling to breathe.
273
00:13:41,520 --> 00:13:42,776
She is struggling to breathe?
Yeah.
274
00:13:42,800 --> 00:13:46,120
Following a worried dad's 000 call,
275
00:13:46,240 --> 00:13:49,440
an ambulance is inbound to
the children's emergency department
276
00:13:49,560 --> 00:13:51,640
carrying a very tiny patient.
277
00:13:53,120 --> 00:13:54,880
MAN: So it's
a little seven-week-old baby
278
00:13:55,000 --> 00:13:57,440
who was born at 34 weeks
279
00:13:57,560 --> 00:13:59,016
who's coming in
with respiratory distress.
280
00:13:59,040 --> 00:14:01,600
Pre-term infants can have
immature lungs
281
00:14:01,720 --> 00:14:03,936
and that may be contributing to
whatever's going on at the moment.
282
00:14:03,960 --> 00:14:06,400
We've got some gluc... some sucrose.
283
00:14:06,520 --> 00:14:09,480
WOMAN: Have you got an IV turned on?
Yep, I'll get Sus ready.
284
00:14:12,920 --> 00:14:15,440
Local mum Zoe has four young kids
285
00:14:15,560 --> 00:14:18,160
but the latest addition,
baby Harriet,
286
00:14:18,280 --> 00:14:21,080
has thrown her family life
into chaos.
287
00:14:21,200 --> 00:14:24,720
She's a couple of times stopped
breathing with my husband
288
00:14:24,840 --> 00:14:29,480
and stopped breathing with me...
which has been very scary.
289
00:14:29,600 --> 00:14:31,480
Hello. It's Harriet.
290
00:14:31,600 --> 00:14:32,896
MAN: So you know
Harriet pretty well?
291
00:14:32,920 --> 00:14:34,016
I do know Harriet very well.
292
00:14:34,040 --> 00:14:37,040
Dr George instantly recognises
the patient.
293
00:14:37,160 --> 00:14:40,320
It's the third time Harriet has been
rushed to Emergency
294
00:14:40,440 --> 00:14:42,400
in as many weeks.
295
00:14:42,520 --> 00:14:44,640
You know, she was absolutely fine
this morning,
296
00:14:44,760 --> 00:14:45,880
looked pink in the cheeks
297
00:14:46,000 --> 00:14:49,480
and then I just, like, noticed,
like, her skin's went mottly
298
00:14:49,600 --> 00:14:51,960
and she just looked like she was
desat-ing again.
299
00:14:52,080 --> 00:14:54,080
This is where the last one started
as well,
300
00:14:54,200 --> 00:14:56,320
where she was having a few
intermittent episodes
301
00:14:56,440 --> 00:14:58,656
and then it just escalated over
the course of the afternoon.
302
00:14:58,680 --> 00:15:00,560
Yeah.
OK.
303
00:15:00,680 --> 00:15:02,720
And the other kids are all OK
at home?
304
00:15:02,840 --> 00:15:04,536
Yeah, they're fine.
No snottiness? Otherwise OK?
305
00:15:04,560 --> 00:15:06,200
The first time she presented,
306
00:15:06,320 --> 00:15:08,520
she presented with
a respiratory tract infection
307
00:15:08,640 --> 00:15:10,120
from a virus called RSV,
308
00:15:10,240 --> 00:15:12,720
which is a virus that causes
a common cold
309
00:15:12,840 --> 00:15:16,720
and in very small babies it has an
effect on the respiratory centre
310
00:15:16,840 --> 00:15:18,376
in the brain, which stops them
from breathing.
311
00:15:18,400 --> 00:15:20,520
But scans on Harriet's brain
312
00:15:20,640 --> 00:15:24,440
have shown no sign that RSV
is affecting her breathing.
313
00:15:24,560 --> 00:15:26,400
WOMAN: And so, what was
the diagnosis, Shane?
314
00:15:26,520 --> 00:15:29,280
She's been RSV-positive.
That's a normal MRI.
315
00:15:29,400 --> 00:15:30,960
So we're not entirely sure.
OK.
316
00:15:33,680 --> 00:15:35,800
Veins are so tiny. Yeah.
Yeah.
317
00:15:35,920 --> 00:15:39,720
Dr George and Zoe are hoping that
a close look at Harriet's blood
318
00:15:39,840 --> 00:15:41,520
will provide some answers.
319
00:15:41,640 --> 00:15:44,680
I really want to know what the cause
is for her stopping breathing.
320
00:15:44,800 --> 00:15:47,600
Yeah, it'd just be nice to get
to the bottom of it
321
00:15:47,720 --> 00:15:50,056
and know what's actually going on
'cause there's obviously...
322
00:15:50,080 --> 00:15:51,920
I mean, maybe it still is RSV
323
00:15:52,040 --> 00:15:54,136
but there's obviously maybe
an underlying reason for it
324
00:15:54,160 --> 00:15:55,640
to happen like this.
325
00:15:58,000 --> 00:16:00,096
She's having periods of between
30 seconds and a minute
326
00:16:00,120 --> 00:16:01,160
where she's not breathing.
327
00:16:01,240 --> 00:16:03,400
So it's petrifying for parents.
328
00:16:04,480 --> 00:16:06,640
She's having an apnoea
at the moment.
329
00:16:06,760 --> 00:16:09,880
As the team prepares to run
more tests on Harriet,
330
00:16:10,000 --> 00:16:12,080
her breathing suddenly stops.
331
00:16:12,200 --> 00:16:13,680
There we go.
332
00:16:13,800 --> 00:16:16,200
Her chest isn't moving,
so she's not breathing at all.
333
00:16:16,320 --> 00:16:20,840
In seconds,
tiny Harriet's blood oxygen levels
334
00:16:20,960 --> 00:16:23,360
drop from 100% down to 80.
335
00:16:37,520 --> 00:16:39,680
A team of surgeons is operating
336
00:16:39,800 --> 00:16:43,600
on the hospital's latest
shark victim, Craig Ison.
337
00:16:43,720 --> 00:16:45,960
Lower-limb specialist Francois Tudor
338
00:16:46,080 --> 00:16:48,320
is still assessing
the extent of the damage
339
00:16:48,440 --> 00:16:50,640
to the sciatic nerve in the leg.
340
00:16:50,760 --> 00:16:54,120
This wound is very deep and I can
feel some of the bone there
341
00:16:54,240 --> 00:16:55,600
so it would be a surprise
342
00:16:55,720 --> 00:16:59,440
if small parts of that nerve at the
very least have not been injured.
343
00:16:59,560 --> 00:17:03,440
DR BINDRA: Without that nerve,
your whole leg is paralysed and numb
344
00:17:03,560 --> 00:17:06,960
and it almost ends up getting
amputated if you lose that nerve.
345
00:17:07,080 --> 00:17:10,520
Professor Randy Bindra is hard at
work on Craig's arm.
346
00:17:10,640 --> 00:17:13,720
A single bite from the shark
has broken a finger,
347
00:17:13,840 --> 00:17:16,480
sliced both arteries,
shredded muscles
348
00:17:16,600 --> 00:17:17,800
and scored the bone.
349
00:17:17,920 --> 00:17:19,960
My arrow's moving
right on that chip of bone
350
00:17:20,080 --> 00:17:21,800
that's pulled off right there.
351
00:17:21,920 --> 00:17:23,960
In my early teens,
I enjoyed engineering,
352
00:17:24,080 --> 00:17:26,360
so I thought I'd be
some kind of an engineer.
353
00:17:26,480 --> 00:17:28,720
And when I finally got drawn
into medicine,
354
00:17:28,840 --> 00:17:30,760
I decided to do orthopaedic surgery,
355
00:17:30,880 --> 00:17:32,960
which is very mechanical
and engineering-minded.
356
00:17:33,080 --> 00:17:35,760
So now I'm looking for the tendons
for all the fingers.
357
00:17:35,880 --> 00:17:38,520
These tendons are fairy shredded.
358
00:17:38,640 --> 00:17:41,280
So there's nine tendons
in the forearm
359
00:17:41,400 --> 00:17:45,120
because there's four fingers,
which I have two tendons each
360
00:17:45,240 --> 00:17:46,960
and the thumb has one,
so a total of nine.
361
00:17:47,080 --> 00:17:50,640
All nine have been cut.
Not a single tendon has been spared.
362
00:18:00,560 --> 00:18:03,160
♪ Do you, do you, do you, do you?
363
00:18:05,240 --> 00:18:08,120
♪ Will you, will you,
will you, will you? ♪
364
00:18:10,240 --> 00:18:12,240
DR GEORGE: She's having an apnoea
at the moment.
365
00:18:12,360 --> 00:18:15,720
Seven-week-old baby Harriet
is struggling to breathe.
366
00:18:15,840 --> 00:18:18,200
Her chest isn't moving,
so she's not breathing at all.
367
00:18:18,320 --> 00:18:22,640
Quickly, the team attach a set of
nose pumps to Harriet's face
368
00:18:22,760 --> 00:18:24,480
and give her a blast of air.
369
00:18:24,600 --> 00:18:29,200
The stream of air upsets baby
Harriet and she reacts angrily.
370
00:18:30,480 --> 00:18:31,840
(CRIES)
371
00:18:31,960 --> 00:18:35,920
For once, Harriet's crying
is like music to Zoe's ears.
372
00:18:36,040 --> 00:18:39,480
ZOE: It was sort of touch and go
whether she was gonna come through.
373
00:18:39,600 --> 00:18:41,881
They were having to, you know,
stimulate her all the time,
374
00:18:41,960 --> 00:18:43,960
every 30 seconds,
to start breathing again.
375
00:18:44,080 --> 00:18:47,240
It was a roller-coaster of emotions.
376
00:18:47,360 --> 00:18:50,520
Gradually,
Harriet's breathing stabilises
377
00:18:50,640 --> 00:18:53,680
and her periods without breathing
stop.
378
00:18:54,960 --> 00:18:57,480
Once it's safe for Harriet
to leave Emergency,
379
00:18:57,600 --> 00:19:01,320
Mum and baby are checked into
the children's critical care unit
380
00:19:01,440 --> 00:19:02,560
for more testing.
381
00:19:06,840 --> 00:19:09,320
Harriet has spent five
of her seven weeks in here,
382
00:19:09,440 --> 00:19:11,920
with Zoe keeping a vigil
at her bedside.
383
00:19:14,480 --> 00:19:19,160
Come on, kiddies. Mackie, Isla, Mia.
Come on, Mimi. Come on.
384
00:19:19,280 --> 00:19:22,960
It's been a trying couple of months
for Zoe's hubby Andrew,
385
00:19:23,080 --> 00:19:24,760
at home with their three other kids.
386
00:19:24,880 --> 00:19:27,640
(BABY CRIES)
387
00:19:27,760 --> 00:19:29,440
What's the matter, sweetheart?
388
00:19:29,560 --> 00:19:31,560
Eh?
(CRIES)
389
00:19:31,680 --> 00:19:34,080
Oh, dear.
390
00:19:34,200 --> 00:19:36,280
Yeah, it's challenging and trying
391
00:19:36,400 --> 00:19:38,776
and I guess at times like this
you realise how much you rely on
392
00:19:38,800 --> 00:19:40,720
your wife and your family unit.
393
00:19:40,840 --> 00:19:43,560
I'm just trying to get the kids
ready for school, do the drop-off
394
00:19:43,680 --> 00:19:45,560
and get out to Zo at the hospital.
395
00:19:45,680 --> 00:19:49,240
That's basically the routine
at the moment, so...
396
00:19:49,360 --> 00:19:51,560
After a week in the hospital,
397
00:19:51,680 --> 00:19:54,720
doctors were able to link Harriet's
breathing stoppages
398
00:19:54,840 --> 00:19:57,680
to the common cold virus
known as RSV.
399
00:19:58,760 --> 00:20:00,160
The boys can pick...
400
00:20:00,280 --> 00:20:05,640
Back at home, the virus has gone and
so have Harriet's breathing problems.
401
00:20:05,760 --> 00:20:09,400
She has an immature
respiratory system
402
00:20:09,520 --> 00:20:12,800
and if she does catch anything
in the next couple of months
403
00:20:12,920 --> 00:20:15,040
or, you know, when she's so little,
404
00:20:15,160 --> 00:20:17,880
she will probably end up
back in hospital.
405
00:20:18,000 --> 00:20:21,880
Unfortunately, she caught
the RSV virus from maybe a sibling
406
00:20:22,000 --> 00:20:23,840
or somebody that had come to visit.
407
00:20:23,960 --> 00:20:25,040
She wasn't able to breathe
408
00:20:25,160 --> 00:20:27,040
and it caused her to keep on
stopping breathing.
409
00:20:40,920 --> 00:20:44,720
When she's not busy delivering babies
in the hospital's birthing centre,
410
00:20:44,840 --> 00:20:49,040
midwife Cassie is out, making
the most of the beachside lifestyle.
411
00:20:49,160 --> 00:20:51,720
CASSIE: The majority of my life
I've lived on the Gold Coast.
412
00:20:51,840 --> 00:20:53,480
It's just a great place to live.
413
00:20:53,600 --> 00:20:56,320
♪ I can't get you
out of my head... ♪
414
00:20:56,440 --> 00:20:59,480
We have beautiful weather,
beautiful beaches
415
00:20:59,600 --> 00:21:03,360
and I think a strong sense
of community as well.
416
00:21:03,480 --> 00:21:05,440
Where else would you rather be?
(LAUGHS)
417
00:21:06,920 --> 00:21:10,200
I live in Elanora,
with my partner Zacky.
418
00:21:10,320 --> 00:21:15,640
We have two cats, Pookie and Calisi.
They're our fur babies.
419
00:21:15,760 --> 00:21:17,320
We don't have any human babies yet,
420
00:21:17,440 --> 00:21:21,760
although I'm getting a lot of
pressure from my mother. (LAUGHS)
421
00:21:21,880 --> 00:21:23,520
Ready for your shift?
Yep.
422
00:21:23,640 --> 00:21:27,440
Zacky has just been
the most amazing partner to me.
423
00:21:27,560 --> 00:21:29,840
Alright. I love you, hon.
I'll see you in the morning.
424
00:21:29,960 --> 00:21:31,360
Drive safely. Yep.
Will do.
425
00:21:31,480 --> 00:21:35,880
He's been so supportive
of me being a midwife,
426
00:21:36,000 --> 00:21:38,640
which I think that you definitely
need that in a partner
427
00:21:38,760 --> 00:21:42,640
if you're gonna do this job, because
it's quite demanding sometimes.
428
00:21:48,440 --> 00:21:51,040
It's lucky that Zac
is so understanding
429
00:21:51,160 --> 00:21:54,640
because Cassie's next shift will
take her right through Saturday night
430
00:21:54,760 --> 00:21:56,600
and into Sunday morning.
431
00:21:58,000 --> 00:22:00,400
Hi, Alana. How you going?
Hey, Cassie. How are you?
432
00:22:00,520 --> 00:22:03,160
Good. Are you working with me today?
Yeah, I'm on shift.
433
00:22:03,280 --> 00:22:05,960
Alana and I have just been assigned
our first women
434
00:22:06,080 --> 00:22:07,880
that we're gonna be caring for
for the night
435
00:22:08,000 --> 00:22:11,320
and this lady's having
her third baby
436
00:22:11,440 --> 00:22:14,600
and she's come in to be induced
because she's overdue.
437
00:22:16,200 --> 00:22:17,880
Hey. How you going, Misha?
Hey, Dan.
438
00:22:18,000 --> 00:22:20,600
Expecting mum Misha
and her hubby Dan
439
00:22:20,720 --> 00:22:22,960
are repeat customers for Cassie...
440
00:22:23,080 --> 00:22:24,616
Did I look after you guys here
first baby?
441
00:22:24,640 --> 00:22:25,976
Yeah, with Sienna,
about five years ago.
442
00:22:26,000 --> 00:22:27,920
Oh, I remembered your name
when the girls said...
443
00:22:28,000 --> 00:22:30,400
..and the whole gang
are in for a long night.
444
00:22:42,160 --> 00:22:47,280
50-year-old Norm has recently been
diagnosed with cancer.
445
00:22:47,400 --> 00:22:50,280
Just over a month ago
while on a dream holiday
446
00:22:50,400 --> 00:22:52,200
in the homeland of his girlfriend
Emi,
447
00:22:52,320 --> 00:22:56,600
a scan in a Japanese hospital found
a large tumour in his oesophagus.
448
00:22:58,440 --> 00:22:59,760
Norman Simpson?
Yes.
449
00:22:59,880 --> 00:23:01,296
Would you like to come through?
Thank you.
450
00:23:01,320 --> 00:23:05,400
Today Norm is undergoing a biopsy
to find out if the cancer has spread
451
00:23:05,520 --> 00:23:08,880
from his oesophagus
into other parts of his body.
452
00:23:09,000 --> 00:23:11,440
Alright. OK.
See you, babe.
453
00:23:11,560 --> 00:23:12,656
We'll give you a ring.
Love you.
454
00:23:12,680 --> 00:23:13,800
Alright.
455
00:23:20,160 --> 00:23:24,280
I really didn't think in my life,
at the age of 50, that I am now,
456
00:23:24,400 --> 00:23:26,440
that I'd be dealing with
something like this.
457
00:23:29,480 --> 00:23:30,480
This can't be right.
458
00:23:30,520 --> 00:23:33,800
Where? How? What caused this?
459
00:23:33,920 --> 00:23:36,480
Is it something that I've done
in my life?
460
00:23:36,600 --> 00:23:38,040
Is it something that...
461
00:23:38,160 --> 00:23:40,560
a job, perhaps, that I've had
462
00:23:40,680 --> 00:23:43,400
or a food that I've eaten
463
00:23:43,520 --> 00:23:48,080
or a... an excessive stress
that I've put on my life?
464
00:23:48,200 --> 00:23:52,280
Norm has no family history
of oesophageal cancer.
465
00:23:52,400 --> 00:23:54,760
The main known causes are cigarettes
and alcohol,
466
00:23:54,880 --> 00:23:57,080
but Norm's a health fanatic.
467
00:23:59,960 --> 00:24:03,040
I'm very passionate about nutrition
and health as well, myself.
468
00:24:03,160 --> 00:24:04,480
I actually study these areas.
469
00:24:04,600 --> 00:24:07,840
This is a part of my temple, my body
470
00:24:07,960 --> 00:24:09,440
that's just out of control
right now
471
00:24:09,560 --> 00:24:15,920
and I believe that the words that we
speak and the thoughts that we think
472
00:24:16,040 --> 00:24:19,040
play a big, active role
in the disease
473
00:24:19,160 --> 00:24:20,840
and the problems
that we have in our life.
474
00:24:20,960 --> 00:24:24,840
There's certainly plenty of
positive thinking coming Norm's way
475
00:24:24,960 --> 00:24:27,520
from his workmates
at the Bunnings hardware store,
476
00:24:27,640 --> 00:24:30,560
where he's known as
'Stormin' Norman'.
477
00:24:30,680 --> 00:24:33,200
Hey, brother Norm,
it's brother Damo here, mate,
478
00:24:33,320 --> 00:24:35,696
wishing you all the best with
all your cancer treatment, mate.
479
00:24:35,720 --> 00:24:38,400
We're all thinking about you here,
especially me, 'cause I love you.
480
00:24:38,480 --> 00:24:39,480
You know that.
481
00:24:39,520 --> 00:24:41,360
Mate, note, I've got the cap.
482
00:24:41,480 --> 00:24:42,720
I'm looking after it for ya.
483
00:24:42,840 --> 00:24:46,000
I'll pray for you and I think of you
every day and I love you so much.
484
00:24:46,120 --> 00:24:50,200
We're all thinkin' of ya and...
one love. Peace.
485
00:24:52,240 --> 00:24:55,080
Dr Kevin Tang
is carrying out the biopsy.
486
00:24:55,200 --> 00:24:58,520
He'll look for tell-tale signs
in Norm's lymph nodes.
487
00:24:59,600 --> 00:25:01,920
They are the first place
to be attacked
488
00:25:02,040 --> 00:25:04,040
when this type of cancer spreads.
489
00:25:15,640 --> 00:25:19,280
It doesn't take long to locate
a suspect lymph node.
490
00:25:23,520 --> 00:25:27,200
The ultrasound reveals
an ominous sign.
491
00:25:27,320 --> 00:25:32,480
Yeah, the size is slightly enlarged,
probably 2cm by 0.5cm,
492
00:25:32,600 --> 00:25:35,280
so therefore this is probably
suspicious for cancer.
493
00:25:35,400 --> 00:25:39,000
Dr Tang harvests cells
from the lymph node.
494
00:25:44,000 --> 00:25:48,000
If the lab inspection
finds cancerous cells in the sample,
495
00:25:48,120 --> 00:25:52,880
then Norm's only option will be to
fight the cancer with chemotherapy.
496
00:25:53,000 --> 00:25:55,600
It's a long road into the unknown
497
00:25:55,720 --> 00:25:59,840
when Norm and Emi are just at
the beginning of a new life.
498
00:26:00,960 --> 00:26:03,560
We are planning to marry.
499
00:26:03,680 --> 00:26:06,200
Well, after this thing is finished
500
00:26:06,320 --> 00:26:09,120
and he can get well,
we are planning to.
501
00:26:10,320 --> 00:26:12,200
(SNIFFS) Yep.
502
00:26:26,920 --> 00:26:28,680
It's been an agonising wait
503
00:26:28,800 --> 00:26:31,520
for the results of a biopsy
on Norm's lymph nodes
504
00:26:31,640 --> 00:26:36,040
that will show if the cancer in his
oesophagus is invading other organs.
505
00:26:36,160 --> 00:26:37,480
What's happenin', chief?
506
00:26:37,600 --> 00:26:39,560
Well, how are you?
Good.
507
00:26:39,680 --> 00:26:42,360
So, obviously the biopsy result
is back.
508
00:26:42,480 --> 00:26:46,320
It does unfortunately confirm
that the lymph node higher up
509
00:26:46,440 --> 00:26:47,960
is involved with a cancer.
510
00:26:54,040 --> 00:26:56,600
That means that the only treatment
we're going to be doing
511
00:26:56,720 --> 00:26:58,200
is chemo radiotherapy.
512
00:26:58,320 --> 00:26:59,320
Yep.
OK?
513
00:26:59,400 --> 00:27:01,320
Where does that put me
in the ball game?
514
00:27:01,440 --> 00:27:04,600
Your chances of ultimately
beating this cancer
515
00:27:04,720 --> 00:27:08,160
or sort of, you know, being cured
are much lower.
516
00:27:11,360 --> 00:27:14,520
Do you want to talk about what
the numbers might be for you
517
00:27:14,640 --> 00:27:15,880
or you'd rather leave it?
518
00:27:16,000 --> 00:27:17,640
I'd just rather leave it, mate.
Yeah.
519
00:27:17,760 --> 00:27:19,840
It's within the powers within.
Yeah, that's right.
520
00:27:19,960 --> 00:27:21,640
So it's gonna be what it's gonna be.
521
00:27:21,760 --> 00:27:25,200
I didn't wanna know what
the percentage of it all was.
522
00:27:25,320 --> 00:27:28,560
Like, you know, what,
you give me 50%, 40%...
523
00:27:28,680 --> 00:27:31,280
It's irrelevant because
I'm a different person.
524
00:27:31,400 --> 00:27:32,720
I'm an individual.
525
00:27:32,840 --> 00:27:35,400
Rightio.
OK. Thanks a lot, bud.
526
00:27:35,520 --> 00:27:36,800
Not a problem.
Too easy, man.
527
00:27:36,920 --> 00:27:38,400
Thank you very much, Doc.
Thanks.
528
00:27:38,520 --> 00:27:39,840
Have a good one, eh?
Cheers, mate.
529
00:27:41,520 --> 00:27:43,240
It's not all bad news.
530
00:27:43,360 --> 00:27:47,360
For him, there's still a chance that
we may control it in the long term
531
00:27:47,480 --> 00:27:50,360
so, right now, the focus will be
on the treatment
532
00:27:50,480 --> 00:27:57,720
and hopefully, you know, we'll see,
you know, yeah.
533
00:27:57,840 --> 00:28:00,800
For Norm, it's mind over matter.
534
00:28:00,920 --> 00:28:03,240
NORM: It's like a journey up a hill,
I look at it as.
535
00:28:03,360 --> 00:28:06,600
So you've taken three steps
and you've come down two.
536
00:28:06,720 --> 00:28:10,200
You know, it's better than
not taking any steps.
537
00:28:10,320 --> 00:28:15,440
And with Emi by his side,
Norm will take the next step.
538
00:28:15,560 --> 00:28:17,480
Well, no choice.
539
00:28:17,600 --> 00:28:20,400
We can get through it anyway.
Yeah.
540
00:28:22,240 --> 00:28:28,440
If I can jump through this hurdle,
I can then start rebuilding again
541
00:28:28,560 --> 00:28:32,320
and start looking for a future
and go forth.
542
00:28:33,800 --> 00:28:36,960
After a long course of chemo
and radiation therapy,
543
00:28:37,080 --> 00:28:40,800
Norm is recovering slowly at home
in Emi's devoted care...
544
00:28:40,920 --> 00:28:41,960
See you.
545
00:28:42,080 --> 00:28:43,656
..and they're planning
to go back to Japan
546
00:28:43,680 --> 00:28:46,160
and finish their trip of a lifetime.
547
00:29:03,400 --> 00:29:05,080
In the birthing centre,
548
00:29:05,200 --> 00:29:09,280
midwife Cassie is catching up
with third-time mum Misha.
549
00:29:09,400 --> 00:29:11,960
Hey. How you going, Misha?
Hey, Dan. How you going?
550
00:29:12,080 --> 00:29:13,496
Good to see you again.
You too. Hello.
551
00:29:13,520 --> 00:29:15,600
Did I look after you guys
for your first baby?
552
00:29:15,720 --> 00:29:17,016
Yeah, with Sienna,
about five years ago.
553
00:29:17,040 --> 00:29:18,960
Oh, I remembered...
I remembered your name
554
00:29:19,080 --> 00:29:21,480
when the girls said
that I'd be looking after you.
555
00:29:21,600 --> 00:29:23,400
I was, like, "I know Misha! Oh!"
556
00:29:23,520 --> 00:29:24,520
Through being midwife,
557
00:29:24,560 --> 00:29:28,480
you do make some amazing connections
with women and their families.
558
00:29:28,600 --> 00:29:30,800
What are you guys having this time?
A boy.
559
00:29:30,920 --> 00:29:32,000
A boy?
Yeah.
560
00:29:32,120 --> 00:29:34,520
So you're gonna have two boys? Wow.
561
00:29:34,640 --> 00:29:38,200
You know, you're with them for
a very special time in their life
562
00:29:38,320 --> 00:29:41,000
and I guess you feel almost like
563
00:29:41,120 --> 00:29:43,080
you're a part of their family
sometimes.
564
00:29:43,200 --> 00:29:46,040
It's not just Misha
who's pleased to see Cassie.
565
00:29:46,160 --> 00:29:50,440
Hubby Dan is happy to have
a familiar face on the team.
566
00:29:50,560 --> 00:29:51,640
Oh, we've been here before,
567
00:29:51,720 --> 00:29:55,280
so we've been here twice,
so just take it as it comes.
568
00:29:56,960 --> 00:29:59,280
Sort of veterans at it now,
I suppose.
569
00:29:59,400 --> 00:30:00,920
It's all good.
570
00:30:01,040 --> 00:30:04,440
Despite the hard work
and the antisocial hours,
571
00:30:04,560 --> 00:30:07,120
delivering babies is a passion
for Cassie,
572
00:30:07,240 --> 00:30:09,640
who originally trained to be a nurse.
573
00:30:09,760 --> 00:30:12,800
CASSIE: On one of my placements,
I got put in the birth suite
574
00:30:12,920 --> 00:30:16,680
with a beautiful midwife
and got to witness a birth with her
575
00:30:16,800 --> 00:30:20,360
and I just thought it was the most
amazing, incredible thing
576
00:30:20,480 --> 00:30:21,480
I'd ever seen in my life,
577
00:30:21,600 --> 00:30:24,160
then went back and did
my midwifery degree.
578
00:30:24,280 --> 00:30:28,360
Oh, my gosh. Do you know what?
I think I can actually...
579
00:30:28,480 --> 00:30:30,600
Sometimes he's putting his hand
up above his head.
580
00:30:30,720 --> 00:30:32,080
MISHA: Oh, really?
He's actually...
581
00:30:32,200 --> 00:30:34,080
His hand is touching my fingers.
(LAUGHS)
582
00:30:34,200 --> 00:30:36,560
He's, like, trying to grab me
through your...
583
00:30:36,680 --> 00:30:37,680
"I'm going back in."
584
00:30:37,760 --> 00:30:40,960
Looks like Misha's baby boy
is on his way.
585
00:30:41,080 --> 00:30:42,800
45 minutes, OK, and...
586
00:30:52,920 --> 00:30:54,680
60-year-old mother of two Love
587
00:30:54,800 --> 00:30:58,480
has a tumour the size of an apple
growing in her brain.
588
00:30:58,600 --> 00:31:02,000
These are always a tricky tumour,
given the size that they are,
589
00:31:02,120 --> 00:31:04,960
and in the past carried
a very, very high mortality.
590
00:31:05,080 --> 00:31:07,400
Table down to T-Kay height, please.
591
00:31:07,520 --> 00:31:12,080
Dr T-Kay Withers is at the business
end of the removal operation.
592
00:31:12,200 --> 00:31:13,960
The tumour has grown
through the covering.
593
00:31:14,080 --> 00:31:16,640
So that is all the tumour.
594
00:31:16,760 --> 00:31:19,600
OK, so you can see the difference
in texture there.
595
00:31:19,720 --> 00:31:21,520
It's taken two hours of surgery
596
00:31:21,640 --> 00:31:24,280
for T-Kay to prepare
for the removal of the tumour.
597
00:31:24,400 --> 00:31:25,960
MAN: Alright. There's your in.
Yep.
598
00:31:26,080 --> 00:31:27,080
Beautiful.
599
00:31:28,720 --> 00:31:30,720
Normally you would try and vent
some CSF
600
00:31:30,840 --> 00:31:33,480
but this is
all completely stuffed here.
601
00:31:33,600 --> 00:31:35,480
I'm someone who likes a challenge
602
00:31:35,600 --> 00:31:37,680
and the reason that neurosurgery
appealed to me
603
00:31:37,800 --> 00:31:40,040
is because, in an actual fact,
it's in its infancy.
604
00:31:40,160 --> 00:31:42,600
I'm looking forward to seeing
what else is out there -
605
00:31:42,720 --> 00:31:43,720
what else can we do?
606
00:31:48,120 --> 00:31:49,880
This is delicate work,
607
00:31:50,000 --> 00:31:52,760
where one slip could spell
brain damage for Love.
608
00:31:52,880 --> 00:31:54,960
Wow.
609
00:31:55,080 --> 00:31:58,120
There's that big vein there.
Yeah.
610
00:31:58,240 --> 00:32:02,840
Slowly, the fatty tumour is cut away
from healthy brain tissue.
611
00:32:02,960 --> 00:32:05,680
(HUMS)
612
00:32:05,800 --> 00:32:07,880
You can always go back another day,
613
00:32:08,000 --> 00:32:11,160
but if you take a good bit of
brain out, you can't put it back.
614
00:32:11,280 --> 00:32:13,280
It's got a branch
of the tumour here.
615
00:32:13,400 --> 00:32:14,840
It does.
616
00:32:16,160 --> 00:32:20,200
At the six-hour mark,
T-Kay has hollowed out the tumour
617
00:32:20,320 --> 00:32:24,240
and the last piece is finally lifted
from Love's brain.
618
00:32:24,360 --> 00:32:25,920
There it is.
619
00:32:30,360 --> 00:32:32,520
I was thinking maybe
we'll put mesh back in.
620
00:32:32,640 --> 00:32:35,640
A sheet of titanium mesh
is cut to size
621
00:32:35,760 --> 00:32:38,160
and seals the opening in Love's skull
622
00:32:38,280 --> 00:32:42,120
and the layers of muscle and skin
are rejoined to cover it.
623
00:32:44,640 --> 00:32:46,680
Sometimes everything
can appear to go really well
624
00:32:46,800 --> 00:32:49,400
and, you know, nothing untowards
seems to happen
625
00:32:49,520 --> 00:32:53,240
and they might wake up with quite a
significant neurological disability.
626
00:32:55,400 --> 00:32:58,320
For Love,
it's just a matter of time.
627
00:33:05,040 --> 00:33:07,280
♪ Slow down, everything's changing
628
00:33:07,400 --> 00:33:10,320
♪ So we hold on just to let go
629
00:33:10,440 --> 00:33:14,040
♪ Slow down, everything's changing
630
00:33:14,160 --> 00:33:17,320
♪ So we hold on just to let go... ♪
631
00:33:17,440 --> 00:33:20,480
Do a big push down for me
as hard as you can.
632
00:33:20,600 --> 00:33:22,160
(MOANS)
Harder. Big breath.
633
00:33:22,280 --> 00:33:23,856
And then a big push down
into your bottom.
634
00:33:23,880 --> 00:33:28,360
It's been a long night for Cassie
and three-time mum Misha
635
00:33:28,480 --> 00:33:32,440
but just after 6:00 in the morning,
both girls are still working hard.
636
00:33:32,560 --> 00:33:35,480
Down into your bottom. That's it.
Keep going, keep going, keep going.
637
00:33:35,600 --> 00:33:37,320
People always ask me, you know,
638
00:33:37,440 --> 00:33:39,200
"Have you had babies yet?"
639
00:33:39,320 --> 00:33:41,320
You know, "Does it put you off?"
and I say, "No."
640
00:33:41,440 --> 00:33:43,160
Ooooh!
Keep going, darl.
641
00:33:43,280 --> 00:33:45,240
You're almost there. Almost there.
(SQUEALS)
642
00:33:45,360 --> 00:33:48,520
It's one of the most amazing
experiences
643
00:33:48,640 --> 00:33:51,800
that, you know, a woman can ever
go through
644
00:33:51,920 --> 00:33:55,160
and I just can't wait to experience
that myself.
645
00:33:55,280 --> 00:33:57,800
Here you go. Grab your baby.
646
00:33:57,920 --> 00:34:00,760
Grab your baby, darl. It's alright.
The baby's out.
647
00:34:00,880 --> 00:34:02,120
I'm really pleased.
648
00:34:02,240 --> 00:34:05,880
I'm so happy, though, that I got to
be with them for this birth
649
00:34:06,000 --> 00:34:09,200
'cause I was with them for their
first birth, so that was nice, yeah.
650
00:34:09,320 --> 00:34:10,920
Dan, you ready to cut the cord,
darl?
651
00:34:11,040 --> 00:34:12,040
Here you go.
652
00:34:12,160 --> 00:34:13,320
There you go. You got 'em?
653
00:34:13,440 --> 00:34:17,640
OK, so just cut
just along the yellow one.
654
00:34:17,760 --> 00:34:21,880
Baby's having a good cry now,
so that's good.
655
00:34:22,000 --> 00:34:26,320
Pretty soon, both mum and midwife
will be able to get some rest
656
00:34:26,440 --> 00:34:29,800
but not before they enjoy the magic
of this moment.
657
00:34:29,920 --> 00:34:31,600
You're tough, hey?
658
00:34:31,720 --> 00:34:33,480
You did so well.
659
00:34:33,600 --> 00:34:39,840
The best part of my job is when
I see a woman and her partner
660
00:34:39,960 --> 00:34:42,960
meet their baby
for the very first time
661
00:34:43,080 --> 00:34:45,400
and it's just incredible, you know.
662
00:34:45,520 --> 00:34:47,960
I could cry at every single birth.
663
00:34:49,240 --> 00:34:51,840
What did you get?
Did you double-check what you got?
664
00:34:51,960 --> 00:34:55,080
You better have a look
and make sure.
665
00:34:55,200 --> 00:34:56,440
Did you have a look, Dan?
666
00:34:56,560 --> 00:34:59,600
Midwifery is definitely my passion
667
00:34:59,720 --> 00:35:03,040
and I think that's what I'll
probably do for the rest of my life.
668
00:35:03,160 --> 00:35:05,880
You came out a bit fast in the end,
didn't you, darling?
669
00:35:06,000 --> 00:35:07,360
(CRIES)
670
00:35:20,440 --> 00:35:24,240
51-year-old Evans Head local Craig
was surfing
671
00:35:24,360 --> 00:35:28,080
when a massive shark
tore apart his left arm and leg.
672
00:35:28,200 --> 00:35:32,760
Such is the extent of his injuries,
it's a two-man job to repair him.
673
00:35:32,880 --> 00:35:36,160
Dr Francois Tudor is working on
Craig's leg,
674
00:35:36,280 --> 00:35:38,120
while Professor Randy Bindra
675
00:35:38,240 --> 00:35:42,440
is trying to repair the tendons
in Craig's hand and arm.
676
00:35:42,560 --> 00:35:44,440
DR BINDRA: So I'm putting this glue
here.
677
00:35:44,560 --> 00:35:46,320
It's blood-clotting factor,
basically.
678
00:35:46,440 --> 00:35:47,720
We call it glue.
679
00:35:47,840 --> 00:35:52,000
What it's gonna do is it's gonna
make my nerve ends stick properly
680
00:35:52,120 --> 00:35:54,160
so that they don't rip apart.
681
00:35:54,280 --> 00:35:58,040
Randy manages to reconnect eight
of the nine tendons in the hand.
682
00:35:58,160 --> 00:35:59,920
The nerve to the muscle
has been damaged
683
00:36:00,040 --> 00:36:02,960
and the muscle has been damaged
itself,
684
00:36:03,080 --> 00:36:05,280
so getting that good movement
and that dexterity
685
00:36:05,400 --> 00:36:07,120
is gonna be a bit of a challenge.
686
00:36:07,240 --> 00:36:09,280
Working on Craig's leg,
687
00:36:09,400 --> 00:36:12,480
Francois has been cleaning out
the massive bite wound
688
00:36:12,600 --> 00:36:16,880
and now believes the sciatic nerve
controlling movement may still work.
689
00:36:17,000 --> 00:36:20,600
It appears to be intact,
690
00:36:20,720 --> 00:36:25,360
yet the shark bite obviously goes
pretty close to where it was.
691
00:36:25,480 --> 00:36:30,760
I've done an extensive wash-out and
taken as much dead tissue as I could
692
00:36:30,880 --> 00:36:34,520
and now I'm going to wrap this up
with a special dressing
693
00:36:34,640 --> 00:36:40,040
which provides a continuous
low-level of suction to remove fluid
694
00:36:40,160 --> 00:36:44,280
and any infection and try
and maintain the tissue's core
695
00:36:44,400 --> 00:36:45,680
when we go back again.
696
00:36:49,400 --> 00:36:51,560
But until Craig is brought out
of his induced coma,
697
00:36:51,680 --> 00:36:56,000
it's impossible to say if all
their efforts have been successful.
698
00:37:09,640 --> 00:37:12,280
It's been a week since
former boxer Craig Ison
699
00:37:12,400 --> 00:37:14,000
was mauled by a great white
700
00:37:14,120 --> 00:37:17,880
and had his leg, hand and arm
rebuilt by surgeons.
701
00:37:18,000 --> 00:37:20,080
I'm Dr Bindra. I don't think
you remember me, do you?
702
00:37:20,120 --> 00:37:22,760
Yeah, no, I don't, but, oh, mate,
I thank you very much.
703
00:37:22,880 --> 00:37:23,920
You're very welcome.
704
00:37:25,520 --> 00:37:27,040
It looks good, from my perspective.
705
00:37:27,160 --> 00:37:28,960
(LAUGHS) Yeah, good. Yeah.
706
00:37:29,080 --> 00:37:30,720
Probably not from yours.
That's alright.
707
00:37:30,840 --> 00:37:34,200
Are you able to just tighten your
kneecap for me a little bit, buddy?
708
00:37:34,320 --> 00:37:35,840
Oooh.
Yeah? Yeah? Good.
709
00:37:35,960 --> 00:37:38,200
So, see, some of the muscles here
are working.
710
00:37:38,320 --> 00:37:40,320
Some you're missing, OK?
Yeah.
711
00:37:40,440 --> 00:37:42,800
I'll never get that image
out of my head,
712
00:37:42,920 --> 00:37:45,880
about this shark
latching onto my thigh
713
00:37:46,000 --> 00:37:47,216
and just going... (IMITATES GNAWING)
714
00:37:47,240 --> 00:37:49,920
chewing away, you know, trying to...
(IMITATES GNAWING)
715
00:37:50,040 --> 00:37:54,360
and just (BLEEP), you know,
going to town on me leg.
716
00:37:54,480 --> 00:37:57,120
(LAUGHS RUEFULLY)
717
00:37:57,240 --> 00:37:59,920
You're a fighter, right?
Yeah, I am a fighter. Yeah.
718
00:38:00,040 --> 00:38:01,480
So it's not a problem for you.
719
00:38:01,600 --> 00:38:04,560
He got me hand at the same time
he got me thigh.
720
00:38:04,680 --> 00:38:06,496
Oh, is that right?
Yeah, yeah, at the same time.
721
00:38:06,520 --> 00:38:08,176
And did you punch him with
your right hand, then?
722
00:38:08,200 --> 00:38:10,600
I must've. I couldn't have
punched him with me left.
723
00:38:10,720 --> 00:38:12,000
You're a lefty, aren't you?
Yeah.
724
00:38:12,040 --> 00:38:13,416
But I must've hit him with me right,
yeah.
725
00:38:13,440 --> 00:38:16,920
It's a long road to a full recovery
for Craig,
726
00:38:17,040 --> 00:38:21,240
with regular skin grafts
now a big part of his journey.
727
00:38:21,360 --> 00:38:24,520
WOMAN: Dan's just gluing
the graft on.
728
00:38:24,640 --> 00:38:27,560
Good. So can you try and make a fist
for us?
729
00:38:27,680 --> 00:38:29,520
Yeah, that's as far as I can go.
Pretty stiff.
730
00:38:29,640 --> 00:38:30,760
Yeah, oh, it's real stiff.
731
00:38:30,880 --> 00:38:33,320
What about if we do it for you?
Yeah, you try.
732
00:38:33,440 --> 00:38:34,976
We need to try
and get your fingers down.
733
00:38:35,000 --> 00:38:37,080
So that movement...
Yeah.
734
00:38:37,200 --> 00:38:39,040
..the Lleyton Hewitt...
Yep. Yep.
735
00:38:39,160 --> 00:38:40,376
..that's the hardest one
to get back.
736
00:38:40,400 --> 00:38:42,560
He may never throw a left hook again
737
00:38:42,680 --> 00:38:45,600
but Craig is just thankful
that the surgical team
738
00:38:45,720 --> 00:38:47,400
were able to save his hand.
739
00:38:47,520 --> 00:38:49,440
I'm rapt. I've got everything
still here.
740
00:38:49,560 --> 00:38:52,600
Me legs, me arms, me fingers,
me toes.
741
00:38:52,720 --> 00:38:55,160
It's gonna take a long time to get
movement out of this hand.
742
00:38:55,280 --> 00:38:59,160
As long as I can get this leg goin',
that's...
743
00:38:59,280 --> 00:39:00,760
I should be right to go home then.
744
00:39:00,880 --> 00:39:03,280
He's definitely a character.
745
00:39:03,400 --> 00:39:06,280
He's one of the patients
you really enjoy having in
746
00:39:06,400 --> 00:39:07,920
because he's good value
747
00:39:08,040 --> 00:39:10,880
and he likes telling his
shark story, so... (LAUGHS)
748
00:39:11,000 --> 00:39:12,520
We all like hearing it,
749
00:39:12,640 --> 00:39:16,240
so every time we've got a new med
student or something on the team,
750
00:39:16,360 --> 00:39:19,240
they're all pretty keen to meet
the shark dude.
751
00:39:19,360 --> 00:39:21,000
So he came down and he got you
752
00:39:21,120 --> 00:39:23,200
and then he got you a second time
in the leg or...?
753
00:39:23,320 --> 00:39:26,080
No, no. All in the one go.
Boom. Got me on the leg, latched on.
754
00:39:26,200 --> 00:39:28,160
His bottom teeth's
come off me surfboard,
755
00:39:28,280 --> 00:39:29,800
his top teeth are on me leg.
756
00:39:29,920 --> 00:39:31,920
(IMITATES GNAWING)
Shaking the whole thing.
757
00:39:32,040 --> 00:39:34,120
What were you doing
when that happened?
758
00:39:34,240 --> 00:39:35,240
I was looking at him.
759
00:39:35,360 --> 00:39:37,400
I was looking at this shark
that's got me leg,
760
00:39:37,520 --> 00:39:38,760
thinking, "What do I do?" Yeah.
761
00:39:38,840 --> 00:39:42,560
Craig, who lost his last professional
bout to world champion Jeff Fenech,
762
00:39:42,680 --> 00:39:46,240
has got a message he wants to deliver
to his latest opponent.
763
00:39:47,400 --> 00:39:52,120
I'm really looking forward
to getting better and recovering
764
00:39:52,240 --> 00:39:57,640
so I can go to that shark and say,
"(BLEEP) you. You didn't beat me.
765
00:39:57,760 --> 00:40:02,800
"You might own the sea
but I (BLEEP)... I got ya." (LAUGHS)
766
00:40:02,920 --> 00:40:05,720
You know, so that's what
I'm pretty excited about.
767
00:40:05,840 --> 00:40:10,200
Not many people can, you know,
take a nine-foot tiger shark on...
768
00:40:10,320 --> 00:40:13,240
I mean, white pointer
and live to tell the tale.
769
00:40:22,320 --> 00:40:25,720
So probably if you just hold onto me
instead of the railing...
770
00:40:25,840 --> 00:40:27,920
OK.
..probably...
771
00:40:28,040 --> 00:40:31,160
Two days after having a brain tumour
the size of an apple removed,
772
00:40:31,280 --> 00:40:33,920
60-year-old Love is back on her feet.
773
00:40:34,040 --> 00:40:36,336
Now, if I let go of your hand,
I just want to see how you go.
774
00:40:36,360 --> 00:40:37,960
You're not gonna
fall or anything.
775
00:40:38,080 --> 00:40:39,960
I just want to see what your balance
is like.
776
00:40:40,080 --> 00:40:42,120
Love hasn't escaped
this major surgery
777
00:40:42,240 --> 00:40:44,840
without some collateral damage
to her brain.
778
00:40:44,960 --> 00:40:48,000
So try not to hold onto the railing.
I won't let you fall anywhere.
779
00:40:48,120 --> 00:40:49,960
Oh, my gosh.
Just see if you can take it...
780
00:40:50,080 --> 00:40:51,080
No, I can't.
No?
781
00:40:51,120 --> 00:40:52,120
That's OK.
782
00:40:52,160 --> 00:40:54,600
Alright, you can hold onto me
if you like.
783
00:40:54,720 --> 00:40:58,960
Both of her legs are numb and
doctors think they'll stay that way.
784
00:40:59,080 --> 00:41:01,560
I thought it was tingling
785
00:41:01,680 --> 00:41:06,320
but it just started
to be numb. (LAUGHS)
786
00:41:06,440 --> 00:41:08,760
But that's OK. I can still use it.
787
00:41:08,880 --> 00:41:11,400
I can still walk.
788
00:41:11,520 --> 00:41:13,040
Oh, yeah.
789
00:41:13,160 --> 00:41:14,880
This is good.
790
00:41:15,000 --> 00:41:18,840
Yeah. Do you feel a bit better
with that now?
791
00:41:18,960 --> 00:41:21,720
Yeah. Except I can't put
my shopping there.
792
00:41:21,840 --> 00:41:23,600
Can I? (LAUGHS)
793
00:41:23,720 --> 00:41:26,040
Oh, I can, yeah.
794
00:41:26,160 --> 00:41:29,320
The side effects of surgery
could have been much more serious.
795
00:41:29,440 --> 00:41:31,760
And there's more good news
about the tumour sample
796
00:41:31,880 --> 00:41:34,440
that was sent to the lab
for a cancer test.
797
00:41:34,560 --> 00:41:35,960
DR WITHERS: It's a benign tumour.
798
00:41:36,080 --> 00:41:38,440
She's come through it
very, very well.
799
00:41:38,560 --> 00:41:42,280
She'll live a long life with this
because, you know, we got it all out
800
00:41:42,400 --> 00:41:45,040
and neurologically she's fine
and it's benign
801
00:41:45,160 --> 00:41:48,600
so her recurrence rate is minimised.
802
00:41:48,720 --> 00:41:54,320
It's a huge relief for Love, whose
handicapped son relies on her care.
803
00:41:54,440 --> 00:41:57,360
It is important because
my children wants to know
804
00:41:57,480 --> 00:42:00,160
whether I'm gonna die or not.
(LAUGHS)
805
00:42:00,280 --> 00:42:03,160
I will survive. (LAUGHS)
806
00:42:05,400 --> 00:42:07,440
Next week on Gold Coast Medical...
807
00:42:07,560 --> 00:42:11,640
No-one has seen me without
my prosthetic bra,
808
00:42:11,760 --> 00:42:12,760
not even my husband.
809
00:42:12,840 --> 00:42:14,520
Now she bares all...
810
00:42:14,640 --> 00:42:15,840
MAN: You ready for this?
811
00:42:15,960 --> 00:42:18,280
..for Dr Raja to work his magic.
812
00:42:18,400 --> 00:42:21,680
You OK?
Yep.
813
00:42:21,800 --> 00:42:24,080
My god, I hope he hasn't fallen down
that gap.
814
00:42:24,200 --> 00:42:27,520
Paramedics go off the road
to control a confused man.
815
00:42:27,640 --> 00:42:29,880
What's wrong, mate? Hang on.
Just relax.
816
00:42:30,000 --> 00:42:33,320
Miracle surgery saves
their smallest patient.
817
00:42:33,440 --> 00:42:36,160
WOMAN: There's nothing more awesome
than saving children's lives.
818
00:42:36,280 --> 00:42:37,560
I'm feeling happy.
819
00:42:37,680 --> 00:42:39,800
Hey, Johnny.
MAN: Hey, Terry.
820
00:42:39,920 --> 00:42:44,000
And the crazy plastering team
are in for a tricky pull.
821
00:42:44,120 --> 00:42:45,120
MAN: Oh, my god.
67728
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