All language subtitles for Charite s04e04 Mut.eng

Maybe we'll have
another little success.

No response.

The paleobacterium isn't the poison,

it's the cure.

The patient will die

if we don't try the new treatment.

I'll start with the phages.

I'm in charge of Microbiology.

And I make the decisions here.

You're suspended.

Morning briefing.

After two more deaths

from the paleobacterium
in the Netherlands

and Norway,
politicians are calling for

more effort
from the scientific community.

The number of people infected
across Europe

has risen to more than 30.

Five people have already died.

The patient identified
as "case zero" at Berlin's

Charité hospital
is also still fighting for his life.

Call Emilia Bonetti.

Emilia Bonetti
is currently unavailable.

End call. Redial.

Emilia Bonetti
is currently unavailable.

Damn it.

There is no end in sight to

the extreme heatwave
in the coming week.

The protests against
the healthcare reform continue.

- Louder.
- Health Minister Nguyen

will not grant

a meeting with demonstrators,

according to the ministry.

News off.

Good morning!
I'm Julia Kowalczyk.

I apologise...

for the slight delay.

Good morning. No problem.

So...

you're Dasha Diaz?

Oh, you were involved
in a car accident...

with your husband.

Let's see how your child is doing.

Luis. His name is Luis.

Luis.

That's a nice name.

- How many weeks pregnant are you?
- 16.

Good, then please lie down
and uncover your stomach.

Did you conceive Luis naturally?

No.

It worked after the fourth in vitro.

So...

Let's have a look.

Looks good already.

There are the little feet.

And when we come around...
Come on, turn round.

He's hiding. Here's the spine.

Looks good.

The umbilical cord
is well perfused.

The amniotic fluid levels
are also correct.

The little head, yes.
Such a pretty profile,

the little one.

And here's the heart.

Louder.

Everything looks good.

Luis is now about the size of...

hmm... a grapefruit.

He hasn't suffered any damage.

You can cover up.

My little grapefruit.

I'm so glad you're OK.

Mrs Diaz, do you need anything?

Patrice,

Luis' father...

My husband

died in the accident.

Yesterday.

I'm so sorry.

Mrs Diaz,

I'm going to do the blood test

and the cervical smear,

and then you're done, OK?

Give me a finger.

Just a little prick.

All done.

So, that's your evaluation.

Everything alright?

A small irregularity.

We'll know more
after the cervical smear.

OK.

What's going on?

Doesn't the fingerprint
scanner work?

Yes, I'm...

I'm suspended.

What for?

Let's call it...

a minor disagreement with Bonetti.

Oh well! That was a mistake.

Jeez, you can't mess with her.

Too late.

Mrs Kachel, could I go
in the ward for a moment?

No. Then Bonetti
might turf me out.

She won't notice.
I just need ten minutes.

No!

Not for the life of me.
I'm sorry.

Pfff, so hot today.
I'm going crazy here.

Do you have a season ticket
for the Kickers?

- Women's or men's?
- Women's, of course.

Right answer. That I have.

Main stand too?

Step right in!

Thank you! You're the best.

So...

You can't be serious.

I wanted to see Julia.

No. You wanted to see my patient
to do who knows what.

You gave him the phages?

That's not your concern anymore.

So, yes.

How do you know
which phages to use

to attack the paleobacterium?

I trust my experience.

As I did with my treatment.

Which, by the way,
Mr Baldwin has approved.

Unlike your phages.

Because you just promised him

an abstruse cure
you can't really prove.

Your phages

probably won't attack
the paleobacterium,

but another in the microbiome.

Then the dysbiosis will worsen.

And in a few hours,

his inflammation levels
will rise again.

Maral,

I thought you were suspended.

I was just clearing my desk,

so you have more room.

See you soon.

Sorry for just bringing you in,

but I wanted to surprise you.

Notice anything?

I programmed in
the smell of the sea.

Smells like dead fish.

Lars, I know dropping out of uni
is frustrating for you,

but look at all the things
you've already achieved.

Moving your hand
as a Locked-in patient

is a breakthrough.

We're getting closer
to your goal.

My goal was to surf again.

And, Ferhat?

Will I?

I don't know.

But if you keep training,

- like you have done so far...
- I'm done.

I just want one thing from you.

I'll do anything to help.

Give me your consent
to assisted suicide.

Only the attending doctor
can consent to it.

I don't want to live like this.

I have microplastic poisoning?

How harmful is that for Luis?

I'm going to be
completely honest with you.

Your child could die from it.

And so could you.

The microplastics
can be washed out of your blood.

But it has to be done quickly

so that you don't suffer any damage.

- OK.
- And I'm afraid that's not easy.

Extremely strong medication

is needed to purify the blood,

and they're too dangerous
for the child.

In theory, we have two options now,

and I would strongly advise you
to choose the first one:

We initiate a termination
of pregnancy

and treat you directly

via dialysis with a dialysate
that creates

a concentration gradient

to the microplastics and...

I definitely want the other option

if it means Luis survives.

- There are risks involved.
- I don't care.

- Mrs Diaz.
- I don't care.

Mrs Diaz.

I understand your pain.

But I'm asking you

to consider the risks
of the other option

before you decide.

I can't guarantee that it will work.

Your child could die
during this operation

and you also have

an increased risk of dying.

And even if this operation
is successful,

there's still a chance
of miscarriage later on.

There's also a high probability that

you'll no longer
be able to have children.

OK.

How... would it work?

Similar to a caesarean section,

we would open the uterus...

and then remove the foetus

together with the placenta

and egg membrane

and store it meanwhile
in an artificial uterus.

Then we'll do
the blood purification

with dialysis via an access.

Your uterus is then lined

with a type of

adhesive nutrient solution...

and the foetus is then reinserted.

Do you do it?

- Will you do the operation?
- No.

I won't perform this operation.

The procedure was developed
by a Brazilian colleague.

He's the only doctor

who has practical experience
with it.

We'd have to bring him in
for the operation.

Mrs Diaz?

I promise you

I'll do everything I can for you.

But I would ask you

to take your time to think about it.

Talk to your family or a friend.

I don't need to.

And we probably
don't have much time.

Shall I prescribe
something for sleep?

No.

I don't think the phages
recognise the bacteria.

Stabilise with KBR-34 -

12.5 to 50 micrograms per day.

OK?

Do you even still know
what you're doing here?

- Do I know what I'm doing?
- Yes.

Of course, Mrs Baldwin.

Incoming call. Rotterdam Hospital.

Excuse me for a moment.

Yes? I'm listening.

Dylan,
how's the phage therapy going?

I'm about to lose another patient.

I do understand the urgency
of the situation.

Please wait until I call you again.

OK, but we're running
out of time, Dylan.

What am I doing here again?

I've got another surprise for you.

Layla,
could you bring her in, please?

Hello, Lars.

Paula!

Nice to see you again.

Yes.

I've missed all this so much.

Shall we take a stroll?

How are you doing?

Shit.

And you?

I'm settling back
into the home quite well.

My family is helping me too.

Luckily I don't have
a family anymore -

they'd only make
everything worse.

I miss the group.

You too.

And you?

Yes.

Also.

If we met here regularly

as a group of two,

would you still go through with it?

Seriously, Ferhat?

You're trying this route now?

Huh? What do you mean?

Paula...
Layla, get me out of here now.

Just wait a minute.

You seriously thought

setting me up with Paula would work?

You're so pathetic!

I didn't want to pair you up,

but just to show you
that people care about you.

Yes, but I don't

care about myself anymore,
get it?

Give me your consent
so that I can finally end it!

Lars, please calm down.

Go on Paula,
go back to your lovely family,

I want it to finally be over!

Good morning, Dr DeAlvarez.
How are you?

I'm well, thanks.
And how are you?

Translator on.

Thanks so much for your time.

Unfortunately
I can't come to Germany.

My daughter is due

to have her twins any minute.

Oh shit.

I was really counting on you.

We can't wait.
The contamination

is too far advanced.

The child's father died recently.

This operation is...

beyond important for Mrs Diaz.

I sense what you're getting at.

And what do you think?

I'll do the surgery from here.

You're an excellent colleague.

We should be able to do it.

Thank you.

I'll send you the video recording

of my last operation.

The manual part would be your part.

I'll do the most difficult part

with the robot.

Cutting open the uterus?

Yes, if the placenta or

the egg membrane is damaged,

the foetus will not survive.

So relax tonight.

We both need to be rested tomorrow.

OK?

Adios.

Adios.

You can do it.

There's no other way.

Accept call.

Hey Marlene.

Lou.

Er... What's up?

We've got the knee settled

until tonight.

Can you do the telemedicine
for him tomorrow?

Er, yeah, I can do that.
Anything else?

Sorry your date with Ferhat
isn't going so well.

Why do you think that?

Well, you wouldn't answer otherwise.

End call.

Hello.

Julia!

I didn't hear you come in.

I lost track of time.

It's so cosy in here.

- Hello.
- Hi.

Is there anything to eat?
I'm so hungry.

We... We've always wanted

to try this one

food delivery service, right?

Maral, are you serious?

I have a complex operation tomorrow.

Red or white?

I don't want any.

Then don't.

So you're not at all
interested in my operation.

Yes, you have one tomorrow.

Yes.

Challenges are good.

Unless they're Dylan,
then they're just annoying.

- I went there.
- What?

To find out if Dylan
had given him the phages.

You know how he reacted?

He didn't tell me,
like some petulant schoolkid.

I know another.

Then it was clear
he'd started with the phages.

Now it's just a matter of time

before Mr Baldwin's
organism collapses.

I was so close to saving him.
So close.

Now he's going to die.

What do you fancy?

I'm telling you this
and you're thinking about food?

Yes!

That's how ignorant I am!

- What's going on?
- I'm not going

to get upset today.
I don't want to get upset today.

Message from Michel.

Michel?

Ah, shit.

What is it?

Nothing.

- Maral, what is it?
- Nothing.

- Show me the message.
- No.

Show me the message.

You wanted to talk to him.

You wanted me to talk to him.

You're not...

sticking to our agreements!

And now it's my fault

if our child gets shot to death?

Julia, you're exaggerating wildly.

Michel's an adult.
You have to learn to let go.

Where are you going?

Julia, what are you doing now?

OK, you're pissed off about Michel.

I'm sad about Michel.

- Oh, Julia.
- No, I'm not exaggerating.

Don't you see what's happening here?

I'd hoped so much...

that this move to Berlin

would finally bring our family
a little closer together again.

And it's exactly the opposite.

But...

we've settled in well here.

Do you really think so?

From my point of view, yes.

And that's exactly the problem.

You only see things

from your own perspective.

Rather than furnishing our home,

you build yourself a workstation.

Rather than listening to me,

you end up blaming me.

And yes, I'm clinging to this family

because it's the only one
I have left.

And stop trying to prove something
to your mum.

I've had it up to here.

Dr DeAlvarez:

Foetus Removal Surgery Part 1.

OK.

Incoming call: Dad.

Decline and go offline.

Voice recording on.

Maral Safadi,

4 August 2049, 9:03 p.m.

Self-experiment with the
paleobacterium in two phases.

Phase one:

Infection with the paleobacterium

intravenously.

CHARITÉ - SHADOW CLINIC

I'm just taking these away,

then I have my other shift.

Thanks Owen, good work.

Careful on your way out.

Right.

It's really late.
The operations here

- just take way too long.
- Yeah.

A surgical robot would be helpful.

I think there's
a decommissioned one in surgery.

You're only telling me this now?

The robot alone
won't be much help.

You need
a trusted base station for it

to access the hospital's 7G,
which we don't have.

Then think of a way to get one.

Operating theatres
need their own stations.

But in every theatre?

Don't these things
work through walls?

Well, it's a vast amount of data

for real-time transmission.

But I can give it a try.

OK, I've got to go.

It's just a checkup.

What for?

You want to
transplant my brain after I die?

I just want to check something,

then I'll leave you in peace.

BRAIN SENSORY STIMULATION

If you notice anything unpleasant,
just let me know, OK?

Everything OK?

Yeah.

It feels really good.

Got any plans
for the next few days?

Yeah, maybe I'll go see Paula.

Good.

That's it.

I'll take you back to your room now.

Can we go through
the healing forest?

- The sun's shining so beautifully.
- Sure.

Disconnected.

Connected.

Yes.

Seda! Mission accomplished.

What are you talking about?

Yes, a small transparent card. And?

It's the base station.

The stations in the adjacent rooms
are strong enough.

They can establish

a connection to the OT robot
through the wall.

I grabbed this one from 12.

Fantastic.

Now we just have to organise
a robot.

We can do that.

Ah, Lou! Great. Thanks.

Oh, and next time,

you tell me what's going on.

Such antics get on my nerves.

Voice recording on.

Maral Safadi,

5 August 2049,

10:00 a.m.

Self-experiment in two phases.

End recording.

Hello, my daughter.

Hello Dad.

What are you doing here?

I tried calling you yesterday,

but you didn't answer,
so I thought

I'd just pop round

to keep
my suspended daughter company.

Open up. I've got a few things

that need to go in the fridge.

Actually, I'm...
I'm not feeling too well.

Some kind of mild virus and I...

I don't want to infect you.

It's fine. Now open up.

All this food will go bad

if it's out in the heat.

Can we talk on the phone tomorrow?

Here, look.

I got us a 42 Primitivo

especially.

You didn't come here for me.

You just need an excuse to drink.

I think you really have
caught a virus.

An assehole virus.

Voice recording on.
Maral Safadi:

5 August 2049,

10:09 a.m.

Self-experiment, phase two.

Healing with the paleobacterium.

Bacterial load:
Setpoint marker 56% coverage.

Start with gut microbiome therapy

by oral ingestion.

100 bacteria per millilitre.

Dylan.

Are they working?

I'm monitoring it.

Do we have any results yet?

The patient's condition
is still very critical.

We have to see if
the phages detect the bacterium.

The Netherlands and Scandinavia

are looking at us expectantly.

The Charité has an important task
to fulfil here

and also to serve as a beacon,
and I expect us

to do this, Dylan.

Ah, so you're still alive.

Ow! Man! You've burnt me now.

Oh, I'm sorry.
Not really! Serves you right.

- Why are you like this?
- Excuse me?

Why did you arrange to meet me
and not show up?

- Huh?
- Oh, damn! I...

I totally forgot.

I guess it wasn't
important enough.

- Let's just leave it.
- No, please.

Let me explain, please!

Marlene, I've...

I've really fucked up.

What happened?

I told you my programme
was being cancelled.

And Lars was one
of my first patients

and we worked together.

We've made so much progress and...

now he wants to throw it all away

and wants me to consent
to his assisted suicide.

What?

So now I've done
a brain stimulation on him.

Without his consent.

A brain stimulation?

A magnetic field stimulation

that has an effect
on the orbitofrontal cortex.

It helps depressed patients
immediately.

But even if you wanted to help him,

it's really intrusive
without his consent.

- Yeah?
- Yeah.

You can't solve every problem
with neurotechnology.

Talk to Lars.

Explain to him why you did it

and then

ask him if he wants
to do another stimulation.

Yeah?

Thanks for always being there.

Voice recording on.
Maral Safadi.

Phase two...

fainted briefly, dizziness...

Fever.

Chills.

- Hello Lars.
- Hey, Ferhat.

Look at that squirrel out there.

It's been swinging upside down
on that branch.

So funny.

Your expression tells me
you have bad news.

Actually, I have good news.

You're feeling better.

That means the brain stimulation
is starting to show results.

What brain stimulation?

From before?

That wasn't a checkup at all.

My mood isn't real at all?
It's all fake?

We've known each other
for so long.

Let's continue together.

So you're prepared
to go that far, huh?

If you can't fix my body,

you experiment on my head
and manipulate me?

Get away from me.

Get lost.

- Lars.
- Now.

Microbiome reaction
in preparation.

What exactly
are you on to here, Maral?

Addition of paleobacterium
in microbiome.

I see.

And what is that?

Maral Safadi,

4 August 2049, 9:03 p.m.

Self-experiment with the
paleobacterium in two phases.

Phase one:

infection with the paleobacterium
intravenously.

Have you gone completely insane?

Operating senior physician
Dr Julia Kowalczyk.

Joined by operating senior physician

Dr DeAlvarez.

Patient Dasha Diaz.

Foetus removal
and subsequent blood purification.

Opening the uterus.

Agathe, the door.

And now I'm going to...
sh... a... d...

Disconnected.

Real-time connection deactivated.

- How can that be?
- Shall we abort?

We're too far in for that!

I'll do it manually.

Call Dr DeAlvarez!

Maral?

Maral!

Maral!

Maral, can you hear me?

Maral, can you hear me?

Shit.

- 1000.
- What did you say?

- 1000.
- 1000 what?

I'm taking you to the Charité, OK?

Oh no, no... Please.

What?

1000!

- 1000 what?
- 1000.

Careful.

Oh shit.

Careful. Ready.

Open wide, yes.

Good. And swallow. Swallow.

Scissors.

Tweezers.

The heartbeat is getting fainter.

Dr DeAlvarez, can you hear me?

Yes, I'm still here.

Good.

I've opened the uterus now.

The egg membrane
and placenta appear to be intact.

Perfect.

Now carefully detach the placenta

as you would for a C-section.

Heartbeat still faint.

I'll start.

Placenta...

I've got it.

The child must be placed
in the artificial womb right away.

You have to take care
of the mother now.

You're doing great.

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