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THE SECOND VICTIM
Morning
- Morning - Morning, Esben
Cheers
Maybe you should
- But I’m not breastfeeding anymore - That’s outside my expertise
- Didn’t I hear you on P1 this morning? - Yes
- You were good Very factual - Thanks
Hi Sorry
Why do people say “sorry” when they haven’t done anything wrong?
- Excuse me - Incredible
- What was your name? - Emilie And Alex, right?
- Yes - Hi
Are you the backup on neurology today? I’m the primary
Esben is the neurosurgeon up there Their locker room is being renovated
Ok, damn Sorry, I didn’t know that
- I’m going over there - You couldn’t have known
A Christian is on backup
- Have you seen Christian today? - No
- Who do I ask if I have questions? - Ask Birgitte, she’s in charge
- First time I’m alone as primary - Exciting
Yes, exciting But I’m also nervous
- It’ll probably go fine - Have a good day
- You too - Yes, you too
Skip the lip gloss
- Otherwise people will think you’re a nurse - Ok Of course Thanks
- Morning, Trine Are you on thrombolysis? - Yes
Good
- Thrombolysis on call, Alexandra - This is Aske from A22
I have a Winnie here, 59 years old
The son called because she sounded strange on the phone
She is having trouble speaking and is weak on the right side
When did the symptoms start?
Hard to say, but she was completely fine last night
If it happened during the night, it’s urgent Where are you?
- We are ten minutes away - Can you give me her vital signs?
Blood pressure is 180/80, pulse 99, respiratory rate 18 and blood sugar 62
- Thanks See you - When will they arrive?
Ten minutes It’s a wake-up stroke, so we have a maximum of 30 minutes
- And what’s her name? - Winnie
The medical records system isn’t working
- It’ll probably be up soon - Ok I’ll head to the morning meeting
Alex? You’ll just need to discharge a few patients
- The night shift ran a bed-and-breakfast - I’ll do that
What’s the difference between God and a doctor?
God knows he’s not a doctor
Sorry? A man in the hallway ismaking all sorts of strange noises
- He only needs Klopoxid - It’s eight o’clock, so let’s start
- Is that you again? - As you know, Christian is sick
Which means we don’t have any backup at emergency this morning
Can someone cover the phone for a couple of hours?
I’ve been here all night
I’m alone on the ward Who is the primary?
- Emma - Emilie, almost right It’s me
- She’s been here for what? two weeks? - That gives me a bit of a stomach ache
- I can take it from ten o’clock - Then we’re missing backup for two hours
- Emilie’s handling that just fine - If Otto approves, I’m satisfied
But that doesn’t change the fact that it’s a poor staffing base
- What do you feel we should do? - I don’t “feel” much at work
But I wonder if you’re considering hiring another medical specialist
We can’t fire him because he’s sick
No, but it affects patients that he’s not here
- Agreed - It shouldn’t, though
But the department should support their colleague He’s had a tough year
- What happened to Christian? - It’s a long story
Yeah, he couldn’t handle it
He got a complaint, and it became a bigger issue
We’ll stop there We still lack backup
- I’ll take it - Ok Thanks, Alex
- Isn’t thrombolysis and ER too much? - It’s fine
- If it’s Alex, I feel safe - She can handle it
- I have to go Call if anything comes up - I will
- Excuse me, someone called for me - It wasn’t me
- Are you the priest? - Yes
Inside out
- Morning, Kamal - Morning, boss
- Winnie Nielsen for thrombolysis assessment - Yes Thanks
- That was me you spoke with Anything new? - No
- What was the last blood pressure? - 180/80
- Is she on blood thinners? - The son didn’t think so He’s on his way
- So no blood thinners? - Not according to him
Hi, Winnie My name is Alex, I’m a doctor
You’ve come in because we suspect you’ve had a blood clot in the brain
We’re going to examine you It will be quick, but we’ll explain afterwards
Now I’m taking this off you
Winnie, can you tell me how old you are?
Good Can you tell me what month it is?
Yes Can you look at me? Close your eyes
Open them again Yes, that’s good
Winnie, look at my hand now
Yes Good
Ok, good Winnie, now I’m lifting your arm
I’ll let go, and you keep it up while I count to five
Now I’m counting One, two, three, four, five
Yes, good
Now we do the same with the other I’ll let go, and you hold it up
One, two Yes, good Fine
Do you feel this, Winnie? Yes, it hurts a bit
And this ? No Good
Good Take her to MRI
Hi, Winnie We’re taking you to MRI scanning, and we’ll see you afterwards
Morning, Ragnar Catch
Oh, thanks My candy
- Well deserved - One moment
Yes, this is Ragnar
Yes But why?
I’ve said countless times that I won’t cover for your incompetence
That’s just how it is Thanks, goodbye
I’m so fed up with the ER
They send patients here to get an MRI –
– instead of properly examining them Do you think they know what it costs?
Definitely not Defensive medicine will be the downfall of healthcare
Here come the images
- Stroke Infact in the left hemisphere - That matches the aphasia When?
It happened three to four hours ago We must treat her immediately
She weighs about 60 kg, so 54 mg Actilyse
54 mg given as bolus, the rest over 60 minutes, thanks
- That’s correct - Yes
Here we have a real doctor who doesn’t mess around
Exactly
Yes, “hashtag MeToo”
- It’s just called “MeToo” - Yes, yes, we’ll say that
Alex? I still don’t have access to her records
- Ok - It’s completely hopeless
- The son said she’s not taking medication - That won’t hold up in court What do we do?
- We start treatment - We can’t
We have to wait until the records system works
- We don’t have time - Take over
What are you doing? This is a hospital, we don’t throw things here
Winnie, look at me a bit Can you point to the ceiling?
Can you point to the ceiling?
Good Thanks
Now I’m going to ask you something very important:
Do you take any medication? Yes? Or no?
No? You don’t take any medicine?
Good Then we can give Actilyse
- Neurology on-call - Emilie here
Man, 18 years old, had a headache yesterday I’m unsure if he has neck stiffness
- 54 mg Actilyse - Wait a bit, I’m in the middle of a thrombolysis
- Are you sure? - Yes Thanks
Alright, Emilie Continue, but speak slowly
I’m struggling to assess this and would like supervision
Ok, I’m coming
- I’m going to Emilie Back in five - You’re going? Now?
- Call if anything changes - Yes
Hi How’s it going here?
Hi
Excuse me? Can you check his medication?
I was told he should have Klopoxid
That could well be epilepsy Please check, will you?
- Morning - Morning, Elias
- Sure? - Yes
Good morning My name is Alexandra, and I am a neurologist
- Camilla - Was it something urgent?
- Urgent? - Relax, mom
Emilie is a doctor in training, so I’m just supervising
- So it’s not serious? - Take it easy
Oliver has had severe headaches since yesterday
Everything looks fine as far as I can see,
but I’m unsure if his neck is stiff
It’s hard to judge
- It doesn’t hurt as much as yesterday - Let the doctor examine you now
- He’s busy It’s his birthday - Oh, how old are you turning?
- 18 - Congratulations Big one
- How are you feeling? - Good
- Do you have a fever? Nausea? - No, I feel completely fine
- Have you been drinking much alcohol lately? - A little
You don’t drink that much It has nothing to do with alcohol
- Oliver, look at my nose - Yes
Now I’ll shine a light into your eyes
Good
Look at the tip Keep your head still, and follow it with your eyes
- Good Have you ever seen double? - No
Keep eye contact with me, and hold your arms out to the sides
Then touch your nose with one hand Good Now the other
Good Can you keep your eyes on mine and touch my finger with yours?
Very good
Now we’ll go to the bench Lie down with your head at this end
Towards me
- Should I take off my shoes? - No
- Lie down, we’ll sort that afterwards - Like this
I’m examining your neck, so just relax I’m holding your head
Good Tell me if it feels tight or painful
Good
Can we go home now?
Yes, it seems like normal migraine or a hangover
- Are you sure? - Yes You can go home
He can have Panadol for the pain But check that he doesn’t get nauseous
- Thanks That’s a relief - Thank you
- I’m coming now - No MRI just to be safe?
You’ll just get Ragnar on your back There’s no need for that
- Here I am - Blood pressure is 210/100
-Stop the infusion Anything in the bladder? - No
Give me 20 mg Trandate, please
- Winnie? Are you nauseous? - Yes
- Do you have a headache? - Yes
- 20 mg Trandate - Thanks
There, Winnie Yes, this isn’t fun
- That was good, Winnie - Water
- Water - I’ll get you some water
What’s going on out there?
- I’ll see - Thanks
Her name is Winnie Tell me where she is
- Answer me Her name is Winnie - Calm down
Hi Are you Winnie’s son?
- My name is Alexandra and I’m a doctor - Anders
- Do you know where she is? - Come
They refused to say anything She sounded strange on the phone
- I will tell you - Is she okay?
Your mother had a blood clot last night, but she’s doing fine
She has received treatment, and it seems to be working
Does that mean ? Is she going to ?
Do you want to talk to her? I think she’ll be happy to see you
Come with me
Here is Anders, Winnie’s son
Hi, Anders Come in Winnie, Anders is here now
- Thrombolysis on call Alexandra - Hi, it’s Christina
Åge, 82 years old, complains about tingling in the fingers
He is unwell He has diabetes
- When did the symptoms start? - A few days ago, he says
Sounds like a minor clot, but it’s too late for thrombolysis
But send him to neurology, they will examine him
- Okay, we will What are your initials? - AD
- Okay, thanks Goodbye - Thanks Goodbye
- Alex, do you have two seconds? - Yes
Isn’t it a bit early for me to be on call alone?
You can manage just fine
Thanks, but you said I should speak up if I felt
There’s no time for feelings It sounds a bit self-centered
You are here for the patients’ sake, remember that
Yes, that’s what I’m trying to be
You’ll manage I know that
Help Oliver?
Help He collapsed
- We need help Red alert - Alex, what should I do?
Under the head Camilla, let me through
- Oliver? - Oliver?
- 5 mg Stesolid - What’s happening?
We just need a bit of space to work
- I need a bed - A bed
- A bed and oxygen - I’ll fix it
- On the side - Sorry
- Stay with him, Emilie - Sorry
- I’m bringing a bed - Take him to MRI now
- Where are you taking him? - To MRI to find out more
- What’s wrong with him? - He’s in good hands
- You can’t just leave - I’ll be back I promise
I’ll be back
- Don’t leave me - Wait here
It’s a brain hemorrhage
- Can it be closed with coiling? - A bleed like that? Impossible
- Ragnar - I suggest surgery
The risk of rupture is too great Coiling seems like the best option
It’s impossible
How big is the risk?
80% risk that the bleeding worsens during surgery Then he dies
But 20% chance that you can stop it
Maybe only 15
The alternative is a coma for the rest of his life
- Or that he wakes up with brain damage - We can’t say anything about that now
I believe he has a better prognosis if he is not operated on
Okay Then I will just write in the journal that you do not want to operate on him
It’s not that I don’t want to, but…
He is 18 years old
- We’ll give it a try - Good
Good
I’m going in to Birgitte Come when you’re ready
Yes
- Here’s the phone - Great
We have gathered for a quick review of the critical incident you encountered
We are here to create understanding and not to place blame
Okay?
I have a meeting in five minutes, but this should go well
Alex, can you recount how you experienced the sequence of events?
I was called around 08:15
Headache patient I sent him home since we found no signs of anything acute
- So you received the patient? - No, Emilie did
So young doctors shouldn’t receive patients in neurology
- Are you saying it was my fault? - No
Let’s leave the question of blame for now
We will return to your experience I promise
- Alex, do you want to continue? - Yes
- He came back after a while - How long?
Ten minutes We shouted "red alert" and then it got hectic
Yes, and I felt that it became an uncomfortable atmosphere, -
- and that people were unpleasant towards each other It wasn’t fun
- It can seem overwhelming, but … - That’s how it can be when things have to go fast
I’m sure everyone did their best
Poor boy
I called the senior doctor What more could I have done?
It’s perfectly normal that junior doctors do initial examinations
And Alex did examine him when doubts arose, right?
- Yes - And then found no indications?
No If I had seen something, I would have sent him for an MRI
- No, damn it, - So, so
There were no signs when he came in I also examined him
I’m just sure that I told you that …
What?
Nothing I’m not quite sure I don’t remember Sorry
- Emilie, you’re all good - Yes, very good
- Is there anything else you want to share with us? - No
Then we’ll finish Time’s up as well, but it was good we got to the bottom of this
Thanks Alex?
Can you have a cup of coffee with Emilie?
That was completely pointless
- How is Oliver doing? - They are going to operate on him now
- Do you think he’ll wake up? - I think so He’s young
The brain is very plastic in that area
I thought the prognosis for brain bleeds was poor
- Either death or brain damage - It depends on type and location
I know it wasn’t anyone’s fault, but I think we should have sent him to MRI
Emilie, we can’t send every headache patient to MRI
But what if it could have saved his life?
- But he’s not dead - No, thank you
If there are no signs, then there are no signs
- Hi, Hanne Aren’t you off? - Someone got sick
That explains it
What?
I told you
I just didn’t want to say it in front of the others The neck stiffness
- You didn’t mention that - Yes, that’s why I called you
You called me because you didn’t know how to check for neck stiffness
No, I called because I found neck stiffness I wrote that in the records
- Haven’t you seen it? - No, I haven’t had time
But I told you, both on the phone and in the room
Oliver won’t get better because I read the records
He needs the right treatment, and the relatives need us
- But it’s - I have to go
Fine
Thrombolysis on call Alexandra
SEARCH PATIENT:
Acute headache
WARNING Neck stiffness, SUSPECTED BRAIN BLEED
Responsible doctor Alexandra Demir does not confirm neck stiffness
Oliver Stiig Winther sent home by Alexandra Demir
- Alex? - What?
You promised me a discharge
Yes I’m just going to surgery, then I’ll look at it
Okay
- How is he? - Fine They’re going to operate on him now
That’s good
What’s going on?
- We’re not operating - Why not?
The risk of rupture is too high, just as I assessed
- Didn’t we agree it was best? - I can’t, I say
If the bleed had been discovered earlier, maybe, but
- Who admitted him? - A junior doctor, but I
He collapsed shortly after
When did symptoms start?
His mother called the medical emergency line yesterday, so it was probably a “warning leak”
- Obviously - That doesn’t change anything
No, but if he had come in yesterday, we wouldn’t be in this situation
It’s a matter of minutes with bleeds like this
Oh For fuck’s sake
Should I know anything more before I fetch the mother?
- This is completely pointless - Esben, should I know anything more?
He’s in a coma Now we’ll see if he wakes up
If that boy dies it’s not my fault
- He’ll wake up - I’ve reported it
So if the parents sue, you don’t mention my name
Why would they?
Do you know how much it costs to go to couples therapy?
- We’ve spent 46,000 - You’re kidding
Trine? Where are the parents?
The mother is sitting in the lounge
- Ridiculously expensive - I've had to do extra shifts
- Hello, wrong way - I forgot my phone
- Camilla Hello again - Hi
- Is Oliver’s father coming? - Yes, he’s on his way
- Should we wait for him? - No, I want to know what’s happening
Just sit down
The thing is Oliver had a serious brain bleed
I talked to the neurosurgeon, and they have decided not to operate
Now they’re putting him in a room in intensive care
Doesn’t he need surgery then?
The surgeon believes it's too risky It could worsen his condition
- So now he’s in a coma - In a coma? What does that mean?
It means he is stable
So now we just wait for him to wake up
He said yesterday that he had a headache
- I knew something was wrong - But he seemed happy and healthy
But he’s my child, and you can tell these things
You couldn’t have known I didn’t notice anything suspicious either
- That’s all I wanted to say - But that
Thank you
Hi, I've brought Oliver’s mother
Hi, my name is Aïda I’m an intensive care nurse
Just sit beside him, if you want
Let me know if you need anything The surgeon will be here soon
He’s busy with another operation right now
- Are you from neuro? - Yes, that was me who
I just wanted to follow up with her My name is Alex
Ok Esben is on his way, so he’ll take over
- Good - Thanks
Can he hear me?
You can talk to him with short and simple sentences
Explain what you’re doing For example:
Now I’m moving your arm
Now I’m stroking your forehead
All touch is good
And you can calmly call his name and say he should come back
Sing favorite songs Maybe explain why he’s in hospital
Why is he in hospital?
I’m sure Esben, the surgeon, will go through everything with you
Why is it my boy lying there?
Sorry, I just think it’s so unfair
I understand that very well
We tried to have children for many years
People said I should give up,
that something was wrong with my fallopian tubes
But I wanted it so badly
So we gave up But then suddenly
he came
He is our little miracle
Yes
Just let me know if you need anything
Are you leaving?
Yes But I’ll come back and check on you later
That would be nice
Message me when the father arrives
Yes, it’ll probably be fine
He manages just fine by himself Then you’ll have to change plans
I’m doing terribly I can’t even wipe my own arse
- Mum, the doctor is here - I have to go Bye
- Hi, Winnie How are you? - You don’t need to worry about me
- I’m worried anyway - You’re kind
Can you smile at me?
That was something else Can you swallow?
- Is it hard? - Yes
It can be if some nerves are damaged Can you say these sounds?
Ka-ka Pa-pa Ta-ta
- "Ka-ka Pa-pa Ta-ta" - Great
Sorry for my behaviour earlier
I was just so scared
- I understand - We only have each other
- It’s just the two of us, mum and me - I’m not dead
- Mum, this isn’t funny - Not yet
Do you know if she will have lasting damage from this?
- If she’ll be normal again? - “Normal”?
It’s too early to say, but I’m very optimistic
It’s just that on the phone, when I called her, she sounded so
strange She was completely
Sorry
- I just got so damn scared - It’s totally fine
It all happened so suddenly Of course you were scared
The nurse said that if it wasn’t for you, she would have
- You saved her life - I just did my job
Thank you
OLIVER’S FATHER IS HERE
- I have to go now, but it looks good - Thanks
My little treasure
Hi Where are the parents?
She went to get him The father couldn’t find his way
- How is Oliver doing? - The blood pressure has fluctuated a bit
Where is Esben?
He’s still operating, but was about to finish when I called
When did you last check the pupils?
I check them every hour
Is it a bit quiet on thrombolysis today?
What’s going on?
Alex?
The pupils aren’t light-responsive
- Is he diabetic? - Alex
I had a patient in a deep coma who turned out
- I’m going to get the parents - No, wait
- The parents should be told now - He really shouldn’t be lying here at all
What do you mean by that?
What if I missed something when I examined him?
It’s not relevant to talk about now
But you have to tell them
Hi
- Hi - Hi
Welcome back
Hi Oliver’s father Karl
- Alex Medical specialist - Now I’m here
- Hi - Hi I’ll find a chair for you
- Thanks - Here you go
So many machines
I’ll get Esben Wait here
Has anything happened while I was gone?
- I just came to say hi - Thanks
Now the father has arrived too
Can he hear what we’re saying?
Yes, we’re going to talk normally to him
Is he sleeping, or is he in a coma?
- Can you fix the blanket? - Yes
Just smooth it out a bit
There Now dad fixed the blanket Isn’t that better?
Have they said anything about when he’ll wake?
- It’ll probably be fine - Karl, can you take off your hat?
- Esben is almost done - Yes, I just need to
- The surgeon is on his way - Thanks
- Yes? - Oliver is registered as an organ donor
You need to come Esben hasn’t arrived, and now we have to tell the parents
- Are you there? - Yes
I’m coming now
Ten minutes tops, then I’ll be there
That’s fine Good
- Hi - Hi, Alex
I just wanted to check in on Oliver
- How’s it going in there? - The father is here We’re giving them some time
- I was asked to hurry - What do we do now?
- With what? - With Oliver’s condition
What’s going on with it?
- Haven’t you told him? - Told him what?
Yes, about the pupils Oliver has no pupillary reflex
What?
Why aren’t you saying anything?
- What have you told the parents? - Nothing yet
For God's sake Come on, now
Good day
My name is Esben and I’m a neurosurgeon I’m responsible for Oliver’s treatment
Were you the one who didn’t want to operate him?
Calm down and listen to the doctor
The thing is, we would like to examine Oliver a bit
But you can wait outside
- I don’t understand Examine what? - Alex, you said everything looked fine
- We just want to examine him - Go ahead and do that
It’ll be quick You can sit outside
- Why can’t I be here? - We’re going out
- Alex, what’s going on? - It’ll only take a moment
We’re waiting outside now
- It won’t take long - Okay, come on
Can I borrow a flashlight?
Thanks
- Is he a registered donor? - Yes, with consent from next of kin
- That’s nice of such a young guy - Then we have to talk to the parents
Yes, the blood pressure is difficult to keep up
- Things are moving fast now - The donation must happen today
If you had operated as agreed, maybe this wouldn’t have happened
Maybe you should have that conversation some other time?
- It seems a bit rushed - The organs aren’t for me
- We should respect the deceased’s wishes - There are other considerations
If we wait too long, the material won’t be viable
- I’m talking to the parents - No Oliver was my patient
You haven’t taken responsibility for either Oliver or the parents
I have a better relationship with them than you do
Fine
Then I’ll call the transplant center and ask what they want
- And Aïda, you’ll join the conversation - Okay
Yes
Unfortunately it looks like Oliver’s condition has worsened
How?
There are no signs that the brain is alive when we examine him
So there is a high risk that Oliver’s brain is dead
Unfortunately
- But you said everything was fine - What does that mean?
That the brain no longer functions because it isn’t getting blood
- But he’s breathing - There’s a respirator breathing for him
And the heart?
It’s beating because we’re keeping it going
Well then he’s alive The body is alive isn’t that what you’re saying?
Technically the body is alive, but
he’s not going to wake up again
But maybe he’ll get better in a few days?
He is young after all
- He healed quickly - Did I say?
- I’m sorry, we can’t do anything more - There’s always something you can do
So what happens now?
We don’t need to talk about it now
- About what? - We can wait a bit
We have to inform you that Oliver is a registered organ donor—
with consent from next of kin
- I don’t understand What does that mean? - "Donor"? Is this a sick joke?
- You don’t have to agree to the procedure - What procedure?
- Won’t you wait a bit? - No, I want to know
It’s an operation where they remove—
—the biological material that can be used
- "Material"? - He’s going to look nice
He will look nice They’ll close him up again and he’ll be dressed in his own clothes
- They can’t just cut him up - Did Oliver sign up himself?
Yes
What are you doing?
- That was Oliver’s wish - Don’t sign He’s our son
I’m not signing
We do a thorough brain death examination to confirm
At the slightest sign of life we do not proceed with the donation
So there’s still hope, in other words?
That’s what you’re saying, right?
I can’t rule it out
- I want to be present for the examination - It can be a bit
- And Karl does too - Yes
You have that right, but I don’t recommend it
He’s in there, I can feel it
Oliver?
Oliver, can you hear me?
Oliver?
Oliver
I’m checking the pupillary reflexes again, but now with movement
Ice water
I’m pouring ice water into Oliver’s ear canal to affect his balance reflex
Now I’m doing pain stimulation on his feet
Can you please
- Are you taking his hand? - Yes
- Sorry - What?
I’m just
One more time Just squeeze
Yes Breathing
We’re disconnecting the respirator to see if Oliver can breathe on his own
We start timing now
You can reconnect it
Yes, the clinical examination confirms brain death
What did you tell them before the examination?
That the brain isn’t working
I’ll ask you once more:
What did you tell them?
- It was a long conversation - Stop
You gave the parents the impression that there was hope
- I can’t take away their hope - What are you thinking? He’s brain dead
We can’t know what will happen, if he wakes up
Yes
I’ve seen several hundred like this They never wake up
Have you ever had a brain-dead patient before?
No
Such arrogance
To think you know better in this field
It’s deeply disturbing
Our job is to be objective in situations like this
- I - You doubt my professional knowledge
You break agreements with colleagues and you lie to the relatives
Is there anything else you forgot to tell?
Sorry, I haven’t quite been myself today
What kind of doctor are you?
Are you filming? Are you ready?
I’m ready, are you? Ok One, two, three, now
Can you stop
Sorry Jonas has taken over the department’s Instagram, so Birgitte asked
Emilie, I don’t care
- Maybe we can finish filming later? - Yes See you
Is there any news about Oliver?
He’s dead
Oh no
That’s terrible What happened? Are you okay?
In the record, you accuse me of sending home a patient with a brain hemorrhage
- I’m not saying it was your fault - What are you saying then?
It’s hard to understand you when you’re so vague all the time
Sorry, but I’m just saying
We work at a hospital, and things happen
How can you suspect something serious without doing anything about it?
- Now you’re being unfair - Oh dear Did I hurt your feelings?
No, but you sent him home after you examined him
- Then it’s a bit rude - Rude?
That I expect a medical minimum from you?
You’re a doctor, Emilie No one feels sorry for you
Not me, not the patients, not the relatives No one out there
Are your feelings more important?
Should we stop everything we’re doing and cater to you?
Do you understand that we can’t put everything aside to look after you?
Patients cry less than you do
Pull yourself together and stop whining
Okay
I don’t want to see it
I understand it’s hard, but we need an answer
Hi, boss
- Take it away - Camilla, they’re just doing their job
- You don’t have to donate everything, do you? - Don’t talk like that about Oliver
- Should we find you a room? - You're not cutting into him
- It's your decision - I refuse
- Oliver wanted to donate everything - Yes, but I don't want that
- You can't be the only one to decide - What?
We also have to respect Oliver's wishes
What did I say yesterday?
That he was unwell But you wouldn't listen
- I thought he was hungover - Are you stupid? He had a headache
They said on the phone we should wait Didn't you agree to that?
- It's your fault - It's no one's fault
Shut your mouth You said he was completely fine
And now he's dead
Wasn't there anything during your examination that made you think -
it could be a brain haemorrhage?
- Medicine is not an exact science - That's not good enough
Aren’t you a doctor? Don’t you run around in that?
- What kind of person are you? - Calm down
Don't touch me Leave me alone
- I won’t, but you need to calm down - Yes
- You killed my son, do you understand that? - Cut it out
- Are you happy now? - Camilla, stop
- Do you hear me? You killed my son - Let her go
He's let go of you
- Are you okay? - Yes I have patients waiting
Excuse me, my husband is in pain He's been waiting for three hours
- I don’t have time - Hello? Do something
- Alex? - Not now
- Yes, now - What?
Didn’t we have an agreement?
- About what? - That you’d discharge some patients
- Not without seeing them first - I suggest Lone or Christer
Both are doing quite well and have said they want to go home
Not so fearless now, are you?
- Sorry, I'm just stressed - Discharge Christer
No, Lone Christer
- Alex, I - Anything else?
Yes There's a patient waiting in the intake section
- Sorry you had to wait - It's okay
- I'm going to shine a light in your eyes - Ok
Look at me
- Should I do something? - Yes, you
- You look at me and - Yes
then you point to the hand that's moving
I don't see that either of them is moving
No, good Let's do something else
Look at me and stretch out your arms, like me
And then touch your nose with your finger
- I'll be right back - Ok
Alex?
What is it?
You?
I seem to have forgotten to eat today
Aren't you just going to go home?
What are the police doing here?
Alex, the police want to talk to you
- It's not a great time right now - About what?
- Can we speak somewhere private? - Yes, you can sit in there
Yes, okay
We understand you were involved in an unfortunate incident today
- Was I? - Can you tell us what happened?
I wasn't
When there are lots of emergency patients and a lot of inexperienced staff, -
it's hard to assess things
Can you be more specific?
I've never overlooked anything before
But still, it's not okay for a relative to threaten a staff member
That's unacceptable
- Threaten? - Was she physical too, the mother?
No, or maybe a little She was angry
But did she physically attack you?
We have witnesses who say she grabbed you
We need to know what happened in order to write the report
She just lost her son I don't want to
You can't
But what if
What if what she said is true?
What did she say?
Don't press charges
She assaulted a doctor Of course we have to press charges
It was my fault
It’s my fault
Hello? Excuse me, do you have time now?
Hello?
You
You
Look at me
Breathe
Breathe
Nice and calm That's it, nice and calm
In through your nose, out through your mouth
Like you're blowing through a straw
Yes Just like that
I'll get you some water
Here
Thanks
Phew
- Don’t you want to sit down for a bit? - I’m fine
What are you doing here? Are you okay?
I want to apologise to them
What do you think they’ll get out of that apology?
That it wasn’t them who I don’t know
No You're not getting anything from them
You're just putting them in a position where they have to give you something -
even if they don't want to
They're not there now It's actually a bit
Selfish
We’ve got it under control
- Can’t I just ? - They're not the ones who should forgive you
- Can we go in? - Yes
Hi You have visitors
- Can I come in? - Yes
- We're not religious or anything - We can talk about whatever you want
I was the one who asked you to come
This is our son Oliver
They say there's nothing to be done, but there always is, right?
Yes, it’s a nice thought
to believe we have control and power over our own lives
But sooner or later we have to admit that it’s not like that
- But can’t you say a prayer or something? - Dear
- Miracles happen, right? - Stop it He’s right
Oliver is breathing We can’t just give up
The machines are breathing for him We can’t do anything for him
What are you thinking about right now?
I’m thinking about Oliver and what he wanted
I just feel so powerless
Of course you do, you’re his mother
Yes
It’s painful to accept
Because we live in a world where we have
control over everything
Almost
The only thing we don’t control is death
Not even doctors can help us with that
What should we do? You have to help us
You should do what you’ve always done
You should love him
You don’t stop loving just because someone dies
Love is stronger than death
That’s what makes us human
There’s also an acceptance in loving
Remember that
Love him
First thing tomorrow, I'm reporting you
I was the one who sent Oliver home after I’d examined him
I understand if you think that wasn’t good enough I think so too
If you heard that sound, what would you think was coming around the corner?
Just answer
A horse
And why?
- Because that’s what a horse sounds like - Yes, most people would agree
- I don’t understand where you’re going with this - It was a zebra
No They don’t get anything out of it
You’re just putting them in a position where they have to give you something
even if they don’t want to
They’re not there now It’s actually a bit …
Self-centered
We’ve got it under control
- Can’t I just …? - They’re not the ones who need to forgive you
- Can we go in? - Yes
Hi You’ve got visitors
- Can I come in? - Yes
- We’re not Christians or anything - We can talk about whatever you like
I’m the one who asked you to come
This is our son, Oliver
They say there’s nothing to be done, but there always is, isn’t there?
Yes, it’s a nice thought …
… to think that we have control and power over our own lives
But sooner or later, we have to admit that it’s not like that
- But can’t you say a prayer or something? - Dear …
- Miracles happen, don’t they? - Stop now He’s right
Oliver is breathing We can’t just give up
It’s the machines that are breathing for him We can’t do anything for him
What are you thinking about right now?
I’m thinking about Oliver and his wish
I just feel so powerless
Of course you do, you’re his mother
Yes
It’s painful to accept
Because we live in a world where we have …
… control over everything
Almost
The only thing we don’t have control over is death
Not even doctors can help us with that
What should we do? You have to help us
You should do what you’ve always done
You should love him
You don’t stop loving just because someone dies
Love is stronger than death
That’s what makes us human
There’s also an acceptance in loving
Remember that
Love him
First thing tomorrow I’m filing a report against you
I was the one who sent Oliver home after I examined him
I understand if you think it wasn’t good enough I think so too
If you heard that sound, what would you think was coming around the corner?
Just answer
A horse
And why is that?
- Because that’s what a horse sounds like - Yes, most people would agree with that
- I don’t understand where you’re going with this
How could you have known Oliver was a zebra?
What if I had listened to Emilie and sent him for an MRI?
Would he be alive now?
What are the odds of an 18-year-old coming in with a brain haemorrhage?
1 in 3800
Precisely
You used your judgment That’s not a mistake
All doctors have a graveyard
These are for you
They’re from a relative
DEAR ALEXANDRA WHAT WOULD WE HAVE DONE WITHOUT YOU?
THANK YOU KIND REGARDS, ANDERS (WINNIE’S SON)
Thanks
Subtitles: Håkon J Wikeland
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