1. 02:12:17 : Body Parts (title)
2. 02:16:10 : A film about organ donation (text)
3. 03:20:08: Good morning. We´ve had a rather busy night - 03:25:03 Subtitle
4. 03:25:05: Last night nineteen year old Maja was hospitalized - 03:31:05
5. 03:31:10: - she was the front seat passenger in a serious car accident - 03:35:01
6. 03:35:16: - in which the driver lost control of the car. 03:39:14
7. 03:39:15: The driver died instantly. 03:41:21
8. 03:42:10l: When the ambulance arrived Maja was in a deep unconscious state - 03:47:04
9. 03:47:13: - her “Glasgow coma score” was 3. 03:50:09l
10. 03:51:04l: In the emergency room she was stable and we scanned her as you can see here. 03:56:24
11. 03:57:06: The pressure kept rising and we couldn’t control it - 04:01:10
12. 04:01:14: - so now we’ve reached the point where all possibilities of treatment – 04:05:12
13. 04:05:12: - seem to be exhausted. 04:07:13
14. 04:09:19 She has a mother and a sister and we have to inform them soon – 04:15:11
15. 04:15:13 - that the end is coming. 04:18:22
16. 04:19:04: Come on honey let’s go and see her right away. 04:22:11
17. 04:25:12: Hello I’m Preben Sørensen from the Neurosurgical Unit. 04:28:22
18. 04:29:06: Charlotte Daugbjerg I’m the nurse, taking care of Maja. 04:32:17
19. 04:34:11: How is she doing? 04:35:20
20. 04:36:01: Let’s go to a room, where we can talk in private. 04:39:17
Narration: 04:39:21 These meetings are important, so there are always doctors and nurses present with different areas of expertise. This helps to ensure clear and direct communication, and prevent misunderstandings which could otherwise result in the loss of trust. 04:53:09
21. 04:53:09: Hello, I’m Doctor Pernille Haure, and I work here in intensive. 04:56:18
22. 04:56:22: So you’re her mother, and you’re her sister? 05:01:09
23. 05:05:07: I don’t know how much information you’ve received from Emergency? 05:09:19
24. 05:09:24:: Just that it’s serious…05:12:15
25. 05:13:06:: Well, I must be frank, I’m afraid it’s not looking good – 05:16:14
26. 05:16:18: Maja has received a very serious, head injury. 05:19:11
27. 05:19:17: We’ve put an “intracranial pressure monitor” inside her head – 05:23:09
28. 05:23:17:: - to measure the pressure – 05:25:09
29. 05:25:15: - and it’s markedly elevated. We’re doing what we can, to lower the pressure – 05:30:04
30. 05:30:12: - but unfortunately right now, her life is in danger. 05:33:06
31. 05:33:11: What does this mean, what are her chances? 05:37:02
32. 05:37:15:: Maja is in mortal danger. 05:40:06
33. 05:42:19: She is receiving artificial help to breath and painkillers – 05:49:07
34. 05:49:19: - and something to help her sleep and breath. 05:54:10
35. 05:56:16: But…05:58:22
36. 06:00:12: What does that mean? 06:03:08
37. 06:03:20: The risk is that we won’t be able to control the pressure inside her head – 06:08:14
38. 06:08:23: - and we risk that her blood will then be prevented from entering her brain. 06:13:06
39. 06:13:15: The relatives are in serious crisis and often they don’t comprehend – 06:18:03
Caption:06:16:14 : Preben Sørensen Consultant neurosurgeon, 06:20:05
40. 06:18:05:: -what we say to them. 06:20:05
41. 06:20:09: This is not only for people with relatives in intensive care – 06:25:08
42. 06:25:15: - but we also know some people react the same, when they receive shocking news – 06:30:11
43. 06:30:20: - that will affect their future life. 06:34:03
44. 06:34:03: We are doing everything we can, to give Maja the best possible treatment – 06:38:19
45. 06:38:20: - but I’m afraid right now, we’re not optimistic. 06:43:08
46. 06:43:17: As we said before, she can’t breath herself, so we have to help her. 06:48:18
47. 06:48:23: We’re doing everything we can. 06:51:03
48. 06:58:12: What are you thinking about Katja? 07:01:00
49. 07:01:11: I’m thinking about Maja. 07:03:09
50. 07:03:13 I can understand that. 07:06:13
51. 07:08:17: Is she a good littlesister? 07:10:15
52. 07:11:04: She’s so nice and funny and always genuine – 07:15:16
53. 07:17:00: - she’s a good listener, really fantastic. 07:21:02
54. 07:21:14: I made this video with her a couple of days ago, and we sent it to our father in America. 07:27:09
55. 07:27:17: I’d like to see it if I may? 07:29:12
56. 07:29:19: You can. 07:31:08
57. 07:32:12: Hi daddy it’s Maja, how are you? 07:35:23
58. 07:36:10: I’m really well. 07:38:22
59. 07:39:00: I’ve finaly got a job in a café, so now I can manage myself. 07:44:14
60. 07:44:23: I really hope that you’ll be home for Christmas – 07:48:00
61. 07:48:14: - because we miss you a lot. 07:50:04
62. 0750:12: Please reply soon. See you! 07:53:20
63. 08:09:21.16: Her condition is the same as before. 08:13:23
64. 08:14:22: Her pupils don’t react and the pressure inside her head is still very high – 08:20:13
65. 08:20:23: - so it’s as we predicted – 08:25:04
66. 08:25:20: - her brain isn’t functioning anymore. 08:29:09
67. 08:40:08: I’d like to talk with you again, because it may be difficult for you to grasp – 08:44:15
68. 08:44:23: - what’s been going on in the room. 08:47:23
69. 08:48:06: During the last couple of hours, we’ve seen a serious deterioration in Majas condition. 08:54:05
70. 08:55:04: We recognize these signs and they indicate that the brain has stopped working – 09:02:20
71. 09:03:13: - unfortunately, when that point is reached, there is no way back – 09:08:16
72. 09:08:20: - so I have to say, we can’t do anymore for her. 09:13:20
73. 09:22:16: How the hell could you let her drive with Alex? 09:27:02
74. 09:27:05: I’ve told you so many times that he drives completely crazy, mum. 09:32:21
75. 09:33:02: I don’t understand… 09:36:21
76. 09:38:19: I understand that you want your mother to have insisted that Maja never drove with Alex – 09:45:2277.
77.09:47:02: - but do you really believe Maja would have listened? 09:50:12
78. 09:51:15: I don’t know…09:54:06
79. 09:55:00: We experience many different reactions during the conversations – 09:59:09
Caption: 09:59:08 Charlotte Daugbjerg Intensive Nurse
80. 09:59:18: - when relatives receive really unpleasant news. 10:03:05
81.10:03:07 : Some can become physically ill – 10:07:14
82. 10:07:22: - some become really angry, angry at everything even the staff 10:14:08
83. 10:14:12: - others break down in tears, grief stricken. 10:18:14
84. 10:26:14: What happens now then? 10:30:12
85. 10:30:21: Right now Maja’s condition indicates that she is brain dead. 10:37:02
86. 10:37:07: I have to tell you that we have no doubt – 10:42:20
87. 10:43:18: - that she is brain dead. 10:46:05
88. 10:49:13: When all hope is gone – 10:53:02
89. 10:53:24: - we don’t think it’s appropriate to continue treatment, when we know it’s pointless. 11:00:12
90. 11:07:00: So all hope is gone? 11:09:14
91. 11:09:14: Yes, all hope is gone. She’ll never recover from this. 11:14:13
92. 11:14:24: We’ve done everything we could, to prevent the pressure from rising – 11:20:06
93. 11:20:06: - but nothing has worked. 11:23:00
94. 11:23:09: What will happen now? 11:25:17
95. 11:26:13: There are two ways to continue from here. 11:29:20
96. 11:30:12: One off them is to turn of the ventilator and then Maja’s heart will stop beating – 11:37:11
97. 11:37:20: - and then she will pass away. 11:41:07
98. 11:41:20: The other possibility is to continue treatment, so there can be an organ donation. 11:47:19
99. 11:48:01: No way! There is no way she should go through that, after all this. 11:56:01
100. 11:58:12: Have you ever talked with her about this? 12:02:02
101. 12:02:17: - or do you have any idea about what Maja’s opinion was about this? 12:06:05
102. 12:06:12: No way… 12:08:18
103. 12:09:11: But mum…She is dead. 12:12:01
104. 12:14:21: I don’t want anyone to cut into my little girl, no way. 12:20:17
105. 12:24:23: But isn’t it true that you can help a lot of people, if you do it? 12:31:05
106. 12:31:09: Well, I don’t know, but she has always been a very moral girl. 12:37:10
107. 12:37:20: I just can’t relate to this, at all. 12:41:09
108. 12:41:11: That’s understandable. 12:43:17
109. 12:44:10: What if something suddenly happened to me? 12:48:01
110. 12:48:10: I don’t know anything about it, but if I had a kidney failure or something – 12:55:07
111. 12:55:14: It could happen to anyone – to me or to you. 13:01:12
112. 13:06:12: Have you ever talked about it at home? 13:11:01
113. 13:11:17: Yes…In fact we have. 13:15:15
114. 13:28:15: Transplantation coordinator Pernille Van Houten. 13:31:14
115. 13:31:18: We have now talked to the family and they’ve said yes to an organ donation. 13:38:24
Narration: 13:41:20 The transplant coordinators task is to act as a bridgebuilder in a well coordinated plan. Available organs are matched with suitable patients, who are contacted directly by phone and transported as fast as possible to hospital. l3:57:21
116. 13:58:16: …Often you read about people being unconscious for years – 14:14:04
117. 14:04:06 - and then suddenly they wake up – 14:07:14
118. 14:07:23: How can we be sure that this is not the case with my daughter? 14:10:24
119. 14:11:18: How can we be sure that she won’t wake up? 14:14:00
120. 14:14:08: It can be difficult to understand, considering the fact that she looks like she always does – 14:20:16
121. 14:20:19: - she breathes and her heart beats 14:23:20
122. 14:24:11 - but it is a machine that makes her breathe and without the machine everything would stop – 14:30:05
123. 14:31:01 - because without it, no oxygen would come to her body – 14:34:06
124. 14:34:17: - and within a very short time, her heart would stop beating. 14:37:19
125. 14:38:00: Occasionally relatives are present during the tests to determine brain death – 14:42:08
126. 14:42:13: - because they were in doubt about the whole procedure – 14:45:02
127. 14:45:05: - and of course you van be present if you wish – 14:47:11
128. 14:48:12 : In the last test, we detach Maja from the ventilator for ten minutes – 14:55:04
129. 14:55:14: - to see if her respiratory center functions. 14:59:10
130. 15:00:06: Let’s turn off the ventilator. 15:02:06l
131. 15:07:05: Now we have to wait for ten minutes. 15:09:10
Narration : 15:11:18 Brain death is defined as the irreversible loss of all brain functions including the brains den. The three central findings in brain death are coma, absence of brain´s den reflexes and apnea, which means the patient can no longer breathe alone. A series of different tests are used, and these tests are repeated twice. It is only then, that a patient can be determined as brain dead legally and therefore clinically dead. 15:37:24
132. 15:39:01 : Now ten minutes have passed. Charlotte, will you take an arterial blood sample? 15:44:11
133. 15:44:24: We connect her to the ventilator again. 15:47:13
134. 15:47:18: Now we’ve made the second brain dead examination – 15:51:24
135. 15:52:06: - and the final conclusion is that Maja is dead… 15:56:23l
136. 16:16:15: What will happen now? 16:18:15
137. 16:18:15: We don’t do much now, except continue to monitor Maja’s organs- 16:24:02
138. 16:24:20: - until the operating team arrives, to remove her organs. 16:28:13
139. 16:28:20: So you have some time to say goodbye to her. 16:33:04
140. 16:33:06: Maybe you’d like a little ceremony to give her a dignified farewell – 16:38:06
141. 16:38:17: - but Maja wasn’t a Christian or anything, so it feels a little strange… 16:44:09
142. 16:44:15: You don’t need to be a Christian to make a small ritual. 16:50:22
143. 16:51:01: now it’s all about what you need – 15:55:01
144. 16:55:06: Well, I think we’d like to do that…16:59:16
145. 17:06:08: No matter how religious we are or aren’t, we need rituals as frameworks. 17:11:05
Caption: 17:07:10 Ruth Østergård Hospital Priest 17:11:23
146. 17:11:14 : Especially, when everything is chaos.17:14:06
147. 17:45:02: Regarding organ donation, from my experience a ritual helps, - 17:50:00
148. 17:50:18: - particularly when relatives take their experiences into the ritual room – 17:55:04
149. 17:55:14: - so it doesn’t become to separate things. 17:59:15
Narration: 18:00:14 And the nurse is preparing her body so her family can say farewell, and anything that has been attached to her body is also removed. It is very important for Majas familiy, that even though she has been operated on, she looks nice and attractive. 18:19:20
150. 18:44:06: The Lord bless you and keep you. The Lord make his face shine upon you – 18:50:24
151. 18:51:06: - and be gracious unto you. The Lord lift up his countenance upon you and give you peace.
18:58:22
152. 18:59:15 : Amen. 19:00:14
Narration: 19:10:21 Globally there are hundreds and thousands of critically ill patients waiting for a new organ. Casper has experinced what it was like to be on a waiting list. l9:21:19
153. 19:25:09 : Now I’m giving you the medicine.19:29:10
154. 19:38:01: This is your left ventricle, the one which was malfunctioning. 19:44:01
155. 19:53:22: The first time I realized there was something wrong, I was on my way to work. 19:59:07
156. 19:59:19: Suddenly, I got totally out of breath and it got so bad – 20:03:18
157. 20:03:23: - that I had to stop and get my breath for a moment – 20:07:16
158. 20:07:23 : - I thought, what’s wrong with me? 20:09:23
159. 20:13:07: I was hospitalized and my heart was scanned.
160. 18.28: They discovered that my left ventricle was two cm.larger than the right one, which is very bad. 20:18:01
Caption: 20:17:04 : Casper Palmvig student 20:20:11
161. 20:27:07 : I was seriously ill and risked dying. 20:32:01
162. 20:34:17 : From then on everything went downhill, I couldn’t eat or drink. 20:41:13
163. 20:41:21: I just lay in bed all the time. 20:45:06
164. 20:49:19: In the end I was so ill that they had to give me a mechanical heart, called a Heart Mate – 20:56:01
165. 20:56:16 : - which pumps the blood around in my body. 21:00:01
166. 21:00:12 : My own heart was so bad I would have died without the pump. 21:04:21
167. 21:06:10: I had to use the mechanical heart for 20 months – 21:10:22
168. 21:11:02: - at this point my whole life was on stand by – 21:14:03
169. 21:14:09 : - all my dreams were shattered. 21:16:15
170. 21:19:18 : When I got the mechanical heart, I knew that the next step was a transplant – 21:25:13
171. 21:25:17 : - so I got on the waiting list for a new heart – 21:29:03
172. 21:29:13: - and then I just waited and waited. 21:32:12
173. 21:36:02 : It was a unique experience, the day I received the call – 21:40:14
174. 21:41:09 : - it was only 15 minutes before the call that I’d seen – 21:45:15
175. 21:46:05 : - an ambulance flashing, blue light. 21:50:06
176. 21:51:07 : The transplantcoordinator told me – 21:56:06
177. 21:56:07: - that they might have a new heart for me. 22:00:02
178. 22:00:20 : This is Pernille Van Houten speaking. I’m the transplant coordinator. 22:04:11
179. 22:04:12 : I have four to six phone numbers of each recipient – 22:07:16
180. 22:07:24 : - so I can always reach them. 22:09:21
181. 22:10:05 : When I ring, I tell them what my purpose is. 22:13:18
Caption : 22:10:05 Pernille Van Houten Transplant Coordinator 22:15:11
182. 22:13:21 : Often it goes completely quite on the other end. They need some time – 22:19:00
183. 22:19:11 : - to realize that what I’m saying, is actually true – 22:22:23
184. 22:23:11: - and that it’s really their turn now. 22:26:13
185. 22:26:23 : In fact it was a totally unique situation for me – 22:30:16
186. 22:31:06 : - because I’d been waiting for so long – 22:34:15
187. 22:35:02: - knowing that it was the only way, to get on with my life – 22:39:06
188. 22:39:15 : - I realized how risky the operation was that I was about to go through – 22:44:18
189. 22:45:00: - that there was a risk involved.22:47:03
190. 22:47:06: What if I didn’t survive? 22:49:15
191. 22:56:06 : But I knew that it was the only way, to get on with my life – 23:01:09
192. 23:02:03 : - so I said yes. 23:04:12
193. 23:06:07 : Almost all the recipients are very happy, exited – 23:10:20
194. 23:11:02 - and deeply grateful.,23:13:19
195. 23:14:01 : When I hung up, I was shaking all over my body. 23:17:18
196. 23:18:05 : I thought, now it’s really happening. 23:21:11
197. 23:24:07 : When I was in the hospital just before the operation – 23:29:02
198. 23:29:04 : I had so many thoughts inside my head. 23:36:02
199. 23:36:20 : What if I didn’t survive? What about my family – 23:41:07
200. 23:41:22 : what impact would it have on them? 23:45:02
201. 23:45:09 : What would happen if I died? How would everything turn out? 23:50:00
202. 23:55:20 : The operation went well. It took a long time, but it was successful. 24:02:05
203. 24:02:18 : The next day I woke up and was detached from the ventilator. 24:08:02
204. 24:08:12 : At this point I was very weak. 24:11:10
205. 24:12:08 : The operation was very hard on me, and I had to receive a lot of medicine – 24:18:16
206. 24:19:02 : - so my body wouldn’t reject the new heart. 24:21:19
207. 24:22:10 : But I could still smile a little because I realized that it had been a success. 24:27:07
208.24.30:03 : I was only in the hospital for twelve days- 24:35:21
209. 24:35:23 : - before returning home, so it was rather fast. 24:40:23
210. 24:42:12 : I had dreamed of returning to the life that I had before – 24:47:15
211. 24:47:24 : - a life full of sports and activity. 24:51:19
212. 24:52:03 : This was what I fought for after my transplantation. 24:57:04
213. 24:59:04 : In the beginning it was very hard to accept that I wasn’t at the same level as I used to be – 25:08:08
214. 25:09:15 : - so when I went to train with other people I was no longer the strongest – 25:15:02
215. 25:15:23 : - I couldn’t lift the same as people in their fifties. 25:20:24
216. 25:22:06 : It was psychologically hard and challenging 25:24:24
217. 25:25:13 : but I knew that there was only one way forward I had to keep on fighting. 25:28:21
218. 25:46:18 : When one has had such a serious experience 25:52:13
219. 25:52:15 : - your way of looking at things changes - 25:56:19
220. 25:56:19 : I don’t quibble over trifles, I see what the day brings – 26:01:18
221. 26:01:20 : - and if I really want to achieve something. I fight hard to reach my goal. 26:08:01
222. 26:02:06 : Because I know how fragile life is. 26:08:01
223. 26:14:19 : When I think about the fact that I’m here today 26:18:19
224. 26:19:02 : - and about all the things that I’m able to do – 26:22:06
225. 26:22:10 : - I can’t help thinking that someone out there 26:25:18
226. 26:26:01 : - said yes to an organ donation. 26:28:12
227. 26:29:05 : This decision made it possible for me to come back and live the life I want – 26:34:05
228. 26:34:10 : If I hadn’t received a new heart I would have died – 26:38:23
229. 26:39:02 : - so it has saved my life. 26:42:14