Original subtitles

All names and personal information in this film have been changed

unless the patient approved their use.

- Can I help you? - Hello. I didn't get a parking ticket...

because the machine wasn't workingt and now I can't get out.

- Wait just a second. - OK.

You can move over a little.

Or we can pull it out again. It should be better now.

- Yeah. - OK, then we'll move it in.

- How are you doing? - Fine.

All right then, let's start.

Let's start the day.

Danube Hospital - SMZ OST

A film by Nikolaus Geyrhalter

Level 3 Emergency Departement, Primary Survey

Please move your toes.

Move your toes, please.

OK, that's fine. There's no other pain?

- In your spine? - Ouch!

- Back there. - That hurts.

- Ouch! - Can you turn over on your side?

Roll over towards me.

Does anything hurt there? There?

- Does that hurt? - No.

There?

Ouch!

Mr. Hawelka, I have to remove your jacket...

for the Xray of your chest, and your ribs.

Because the zipper's in the way. Is that OK?

Turn over on your back.

Mr. Lieber!

We write that down right away, tetanus vaccine as treatment, so we don't forget.

Then I won't have to ask again. We'll do a skull and a nasal bone.

No, Dr. Pfardo is a colleague of mine. I'm already done looking at him.

- He left already - Yeah.

Pagitsch. Martin.

Mr. Pagitsch!

We'll do an Xray of your knee just in case.

- Because the bruise isn't completely... - Ouch.

Sorry.

That's your job, torturing people.

I know, I even get paid to do it. OK, that's fine.

No, that was just a stupid joke.

Your job is saving people.

I guess. That doesn't hurt, does it?

It hurts like hell!

Let me take a look. Fine.

Mr. Pagitsch, we'll take a few Xrays, and then I'll see you again.

Status postabdominal, neuroblastoma,

eight chemotherapy sessions in Romania.

Level 5 Anesthesist's Conference Room

Bone marrow biopsy in March, here at the SMZ,

MRI a few days ago with sedoanalgesia.

A zygoma biopsy will be done on the right side...

because of suspicious MRI results.

The child's extremely corpulent,

could possibly become an awkward venous path.

I've had various spots marked for the EMLA salve.

And then, Hedwig Kunz is a nineteen-year-old ASA 1 patient for removal of the bar,

Mallampati 2 to 3.

This wasn't a problem the last time an anesthetic was administered...

except that she regained conscious more slowly,

which is why she underwent pain therapy on the children's ICU.

- Daniel Schlederer, eleven months. - I'm familiar with him.

You are ?

How's he doing now?

Fine, for the most part, he's gained six kilograms,

colostomy closure, he seems to be fine now.

A unit of erythrocytes has been cross matched.

OR 12, Michaela Reischl, prostatectomy, Linz,

she's an ASA 1 patient, general anesthesia.

Level 5 Neonatal Room

I'll examine her, maybe that'll calm her down.

Should I take her and then...

I'll examine her, and then we'll do it, OK?

I think she's hungry.

Hungry, yeah.

Can I hand her to you for a second?

Is that OK? Or should I lay her down differently?

Let's do it like this.

As if you want to nurse her.

I think she's hungry.

That's the sugar solution...

Yeah, great.

- That's perfect. - Just look at that.

Well, all kids can be bribed, can't they? I'll take her now.

OK?

Level 8 Helicopter Landing Pad

Level 4 Radiology, Computer Tomography

Wait a second.

OK.

We have to move a little farther forward.

Fine!

Wait, wait.

That's the abdomen and thorax...

There's the retention behind the left lobe of the liver.

There's some mush on the side.

Yeah, there's necrosis, but that's not defined functional retention.

Thank you.

Goodbye.

Yeah, there's no substantial new findings compared to the last time.

OK, now I'll take the actual sample.

You're going to hear a crack, but that won't hurt.

Don't be startled.

OK.

Fine.

That was the first one, as I said,

and we'll take a second sample at a different place.

Level 5 OR 11, Eye Surgery

Where do you live?

That's what I thought. Then just imagine a nice stroll in the meadow...

and dropping in at the tavern there,

and by the time you order a beer I'll be done with the surgery.

Yeah.

If you're from that area, I assume you're familiar with it.

Replug it.

Uh, I'll take that. There you are.

Thank you.

- Hello. - Hi

Now just think of something nice to dream about, OK.

Level 3 Internal Medicine, Special Exanimation Room

No, open your mouth. Nice and wide.

Great. And now sweet dreams.

Can we start now? Or should we wait a little longer?

Let's wait a little.

Wait a little longer.

Pardon?

She went right to sleep.

Let's keep an eye on her respiration.

Wait, I'll just slip through here.

Because that always takes a while for me, until I'm through.

- Ah, it twisted again. - No, it's fine.

It's OK.

That's fine.

No, I'll take it.

- No, that's not what I wanted. - That's fine.

OK, I'm going to start, Hubert, all right?

Oh, she isn't ready yet.

Wait a second, I can uncoil it.

Should we put a little gel on that?

Or it isn't that necessary?

Now we're in. Wait a second, I'll take a picture.

That looks just fine.

Good.

- Open. - Yeah, open.

Closed.

And one more time.

- Open. - Open.

- Closed. - Yeah.

OK, just suction it out.

And we're all done. Pardon?

It's a little inflamed, there's a little redness,

but she doesn't have an ulcer.

Everything looks fine.

OK, thank you.

OK, we'll remove the mouthpiece now.

Level 2 Main Transporter Corridor

Please repeat the patient's name.

Danube Hospital, switchboard, good afternoon.

Level 3 Telephone Switchboard

I'll put you trough.

Attention please.

Our continuing education course on Type 2 diabetes...

will be held today at 12:30 in the multipurpose room.

Assistant medical director Dr. Gustav Maier,

specialist for internal medecine, will speak.

The Medical Association will award one point...

for the continuing education certificate for attending.

Members of all professional groups who are interested are welcome.

We ask that you show up on time...

and would be happy to see you there. Thank you.

I'll put you through to reception, OK? Just a second, please.

Danube Hospital, switchboard, good afternoon.

After lunch this Saturday, he suddenly felt the urge to cut himself.

Level 3 Conference Room, Psychiatry

He was so afraid, of himself and the others,

that he was too scared to return to his base.

That's when it happened.

Continued to be extremely frightened and still is.

Yeah, we moved him to 28, which calmed him down.

Then there was a Mr. Katscha Berger,

he showed up with his mother after being referred by the AST.

For a few days he's been agitated, has had trouble sleeping, anxiety.

In January CML was diagnosed at the General Hospital,

and he's now being treated for it.

According to the patient the results have been excellent,

and he needs check-ups only every four months.

He doesn't think this diagnosis is responsible for his mental state.

At the AST he claimed to have palpitations,

through there was no physical problem.

In the past, when he was about 15, he had obsessions,

as he called them, compulsive handwashing, a compulsion to control,

but he never received psychiatric treatment.

He claims to feel isolated, aimless, and that he contemplated suicide in the past.

Exploration of the suicide fantasies was possible,

through he has strongly distanced himself from them since.

We've begun with Trittico and Cipralex...

and gave him Dr. Pelzl's telephone number...

and a recommendation for psychotherapy.

He was extremely grateful...

and was then released with his mother.

It apparently happened like this, for whatever reason,

she took home a cleanser from her job.

She works as a cleaner at a shopping mall.

Then she poured the cleanser into an empty champagne bottle, a miniature one,

and put it in her refrigerator next to some full bottles.

She can't explain how it happened,

but then she wanted to drink some champagne and drank the cleanser instead,

and vomited blood right away.

An ambulance came, helicopter ambulance, intubation, emergency room.

She's doing fine now, but there's apparently a lot of encrustation and...

liquefactive necrosis, right.

They haven't really taken a close look at that yet.

And there was no suspicon of a suicide attempt?

They weren't able to find out because her German's pretty bad.

We tried to talk to her, once with a cleaning woman...

and once with a relative interpreting.

We didn't find any evidence, but it's not 100% certain.

Level 5 OR 3, Surgery

Who are you on duty with today?

- With... - With who?

With Marek.

Would you come over here, please?

Fine. Can we get started?

Extremely interesting.

But it's only open from 9 to 4, and closed for lunch,

with coffee breaks in between, according to the French tradition.

The one Hadid designed in Innsbruck is beautiful, I agree.

And the Hungerburgbahn railway turned out great, too.

I don't know if you've seen it yet.

It's extremely futuristic, turned out extremely well.

It was 30� Celsius that day, I remember that.

The temperature dropped a lot over the weekend for us.

It rained cats and dogs on Saturday.

And then when I got back, it was pretty nice.

Yeah, Sunday was nice.

But it was kind of frustrating on Saturday.

Fine.

Scissors.

It was about 28� here when we left and 14� when we got there.

Yeah, that was when the temperature dropped.

Level 2 Sterilization Department, Unsterile Side

Warning: automatic transporters.

Level 2 Sterilization Department, Sterile Side

Level 2 Canteen Kitchen and Dietary Kitchen

Warning: automatic transporters.

Please include this.

Operating medical equipment from multiple outlets is not permitted.

Level 3 Confrence Room 1

When making your rounds check to make sure that,

when beds are in sections of the inpatient area...

that might not have been intended for them,

and there's an electric bed and a monitor,

there could very well be a multiple outlet there.

We put together a list of instructions which I sent you.

The idea behind was that, as I discussed with Andreas,

we can take them with us when we make these inspections...

in the wards or the workshops,

as a kind of preventative measure,

after they've been signed, of course.

In the field of nuclear medicine we've seen many cases...

of a refrigerator in a storeroom full of inflammable liquids.

And those are the kind of details...

that we can inform employees about with these instructions,

assuming they're brief, not more than a single page.

Last week we started the biannual check of the fire extinguishers again.

Once again, there'll be plenty to do in that area.

The fire drills have been scheduled in your department, haven't they?

Yeah.

I've noticed that not many doctors participate.

You cloud give advance notice.

- Can't they be made mandatory? - They're all mandatory.

All of them.

I'll do that again through the medical director.

You might remind him that that applies to all employees.

Right, on to the next item:

About two weeks ago we had an incident at night.

I don't know whether you've heard about it.

Nurse Slejs said that she'll send you an email.

On ward 42 the entrance doors...

failed to open that night.

The Sturt company apparently programmed them incorrectly.

There was a cardiac alarm...

and the doors wouldn't open for the emergency response team.

And the problem was that the nurse inside didn't know...

whether she should reanimate the patient or open the doors first.

I heard about it,

and we looked at the error messages on the terminal.

And we went over everything again.

It had apparently been programmed incorrectly.

Yeah, we realized that when we set the day/night switch,

that the timer was set at about 2 seconds, and the doors closed again.

Maybe somebody should have a little word with them...

so they pay more attention to that.

Level 4 Neonatal ICU

OK.

Everything's fine, there's no problem.

Continues to be normal.

Philip?

He went over to the infusion.

Florian?

Fine,

Florian has become quite stable with Infant Flow,

now with interruptions, we're quite satisfied.

Philip's breathing is stable,

but there are still these bradycardias with the tube,

and we aren't certain that they're the result of tube secretion...

and physical activity and so on.

And for that reason we'll do an MRI scan, of the skull tomorrow.

We had a similar case a year or three ago,

and he had changes in the brain,

the one over there, so we'll do the MRI skull tomorrow.

- When's it scheduled? - Sometime in the morning.

In other words... I'm looking at you now.

I talk to the parents, or the mother, quite often and have the impression...

that she's extremely nervous.

That's means that it's up to you.

She's coming in today or tomorrow, depending.

- The father's the calm one? - I haven't talked to him yet.

Because he always stays in the background and seems quite calm.

Ok, but it's up to you now.

I introduced myself briefly last week and I'll do it more thoroughly today or tomorrow.

- Can I close this? - Oh, fine.

- Are you brought gonad protection? - I did.

Level 5 Anesthesiolgy ICU

Can you pull that out? Like this?

Great. Thank you.

Level 3 Employee Canteen

- I'm paying for both. - No, that's fine.

- Do you have enough? - Yeah.

- Just a salad? - Yeah, just a salad.

It's good today.

Level 5 OR 5, Neurosurgery

Markus, could you do me a favor?

We need fluorescent tubes,

36 watts. Please.

Level 3 Seminar Room, Pathology

I don't really like that section.

Is that just DCIS? The strands are much too narrow.

And here's another one.

Doctor Dopita, was that discussed during the mammo conference?

Do you know how large the tumor was?

No, I don't remember.

Here we have a lot of fatty tissue necrosis, that just indicates that it was punched.

I'm sure that it's in situ.

But I'd call this area invasive. Right?

Though it's definitely smaller than one millimeter,

and then you have a carcinoma with microinvasion.

DCIS with microinvasion.

And it's still low grade. In the core.

What doesn't really seem right for low grade...

Are here necroses? No, there aren't any here, here's a high grade, right?

OK, so in the description we have mostly low grade...

and then there are individual milk ducts with comedo necroses,

which brings the ATP to high grade.

And that's quite plausible, actually.

The high grade sections have the microinvasion.

It all fits.

Discolored, pale, grayish yellow.

Level 2 Pathology

There's an external histology from the AKH Hospital...

and of the patient's condition after chemotherapy and radiation.

- The uterus is here? - Yeah.

That's right.

It was inoperable.

- They used radiation because it was a pT4. - That's right.

OK then.

What would be interesting, of course, is what the urinary tracts look like.

- Because of the necrosis. - Yeah.

One of the kidneys is...

Flip the liver.

I need the second kidney.

Hold it at the diaphragm.

- Hold it on top. - What do you call it: Let it hang down.

Right, hold it on top and let it hang down.

And then put it down like this.

OK, that's fine now.

You can see that the right kidney is enlarged.

- That's pretty wide. - Too wide.

That's a hydronephrosis. And it's reddened and inflamed.

Level 2 Clean Laundry Receiving

Level 2 Waste Management

We're not allowed to light candles in the chapel.

Because of the firesafety regulation for hospitals.

Level 3 Conference Room, Pastorale Care

That's why we do this every November,

All Saint's Day,

and late November is when

the Lutherans have their Sunday of the Dead.

We put on an event in the chapel,

where people can light a kind of virtual candle.

In other words, they can write down the name of the deceased...

and light it with one of these Postits.

That's a...

They won't set anything on fire, and they still look nice.

We've learned that this is very important for people,

and they want to express these needs at the hospital.

We've inquired a number of times whether lighting candles couldn't be permitted,

but we're at the center of the building, and if a fire started in our department...

it would spread to the wards right away, so it's just not possible.

They're always full, regardless of what we do.

And if we did something different every year...

It won't take long for them to fill up.

Fine. Then we'll just make more.

And Henry, you'll make the posters?

Yeah. Fine. The question is, how many should I make?

I'd say, let's leave it at these two for now, and then we'll see how it works out.

And make more later if necessary. Will you be here on Monday?

Yeah.

I think that's not nearly enough.

Make twice as many.

Would you make that many right away?

- That's my gut feeling - How many names can fit on one?

10... 14.

Is anyone good at multiplying? Three times 14.

Fifteen is, uh...

Fortytwo.

In the name of the Father and the Son...

and the Holy Ghost. Amen.

Give us peace every day

Do not abandon us

You have promised to never leave our side

You are our one true God

And our lives are in your hands

Do not abandon us

Give us freedom every day

Brothers and sisters, to begin the celebration

of the anointing of the sick in the proper frame of mind,

let us look into our hearts and confess our sins.

- Should I answer him? - You have to.

Confession of sins.

Confession of sins.

I confess to Almighty God and to you, my brothers and sisters,

that I have greatly sinned, in my thoughts and in my words,

in what I have done and in what I have failed to do,

through my fault, through my fault,

through my most grievous fault;

therefore I ask blessed Mary ever-Virgin,

all the Angels and Saints, and you, my brothers and sisters,

to pray for me to the Lord our God.

May Almighty God have mercy upon you, and your sins having been forgiven,

may He bring you to eternal life. Amen.

You really should hurry it up a little.

And now I will read from the Gospel according to Matthew.

Sister, you're here, I can't hear him.

I'll read it so she can hear it.

I'll read the Gospel.

When Jesus had entered Capernaum,

a centurion came to him, asking for help.

"Lord", he said, "my servant lies at home paralyzed and in terrible suffering."

Jesus said to him, "I will go and heal him."

The centurion replied,

"Lord, I do not deserve to have you come under my roof.

But just say the word, and my servant will be healed.

For I myself am a man under authority, with soldiers under me."

When Jesus heard this, he was astonished and said to those following him,

"I tell you the truth,

I have not found anyone in Israel with such great faith."

Then Jesus said to the centurion, "Go!

It will be done just as you believed it would."

And his servant was healed at that very hour.

The Gospel of Our Lord Jesus.

Praise to you, O Christ.

But...

Please make it short, she can't sit any longer.

I think the whole thing's taking a little too long.

And now extreme unction.

Warning: automatic transporters.

Level 2 Transcar Workshop

Level 5 OR 6, Orthopedics

Here is the shoulder we should adjust there if it's possible.

The butt, where's the butt?

- Looks pretty good. - I really like it.

But we can adjust that little by little.

How's he doing?

I'm keeping an eye on it. But it's going up and down.

I mean, something happens and then it's gone.

No, we have plenty of time. That's the least of our worries.

- And if we straighten the thorax there? - Pardon?

Well...

You cloud...

Do you have these tubes?

Yeah, but that doesn't help me.

I have one hundred again.

I think we'll have to correct that more than once, and then it'll go up.

- It's going back down again. - A little, yeah.

Yeah, that bent really nicely.

Level 2 Disinfection Department

Level 3 Viewing area

Warning: automatic transporters.

Please step to one side.

Warning: automatic transporters.

Sixtyfive,

and one meter fiftyfive.

Subtitles: mos3n