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 couldnt control it - 04:01:10

 

12. 04:01:14: - so now weve 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 lets go and see her right away. 04:22:11

 

17. 04:25:12: Hello Im Preben Sørensen from the Neurosurgical Unit. 04:28:22

 

18. 04:29:06: Charlotte Daugbjerg Im the nurse, taking care of Maja. 04:32:17

 

19. 04:34:11: How is she doing? 04:35:20

 

20. 04:36:01: Lets 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, Im Doctor Pernille Haure, and I work here in intensive. 04:56:18

 

22. 04:56:22: So youre her mother, and youre her sister? 05:01:09

 

23. 05:05:07: I dont know how much information youve received from Emergency? 05:09:19

 

24. 05:09:24:: Just that its serious05:12:15

 

25. 05:13:06:: Well, I must be frank, Im afraid its 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: Weve 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 its markedly elevated. Were 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: But05:58:22

 

36. 06:00:12: What does that mean? 06:03:08

 

37. 06:03:20: The risk is that we wont 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 dont 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 Im afraid right now, were not optimistic. 06:43:08

 

46. 06:43:17: As we said before, she cant breath herself, so we have to help her. 06:48:18

 

47. 06:48:23: Were doing everything we can. 06:51:03

 

48. 06:58:12: What are you thinking about Katja? 07:01:00

 

49. 07:01:11: Im 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: Shes so nice and funny and always genuine 07:15:16

 

53. 07:17:00: - shes 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: Id 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 its Maja, how are you? 07:35:23

 

58. 07:36:10: Im really well. 07:38:22

 

59. 07:39:00: Ive finaly got a job in a café, so now I can manage myself. 07:44:14

 

60. 07:44:23: I really hope that youll 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 dont react and the pressure inside her head is still very high 08:20:13

 

65. 08:20:23: - so its as we predicted 08:25:04

 

66. 08:25:20: - her brain isnt functioning anymore. 08:29:09

 

67. 08:40:08: Id like to talk with you again, because it may be difficult for you to grasp 08:44:15

 

68. 08:44:23: - whats been going on in the room. 08:47:23

 

69. 08:48:06: During the last couple of hours, weve 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 cant 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: Ive told you so many times that he drives completely crazy, mum. 09:32:21

 

75. 09:33:02: I dont 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 dont know09:54:06

 

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 Majas 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 dont think its appropriate to continue treatment, when we know its 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. Shell never recover from this. 11:14:13

 

92. 11:14:24: Weve 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 Majas 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 Majas opinion was about this? 12:06:05

 

102. 12:06:12: No way 12:08:18

 

103. 12:09:11: But mumShe is dead. 12:12:01

 

104. 12:14:21: I dont want anyone to cut into my little girl, no way. 12:20:17

 

105. 12:24:23: But isnt it true that you can help a lot of people, if you do it? 12:31:05

 

106. 12:31:09: Well, I dont know, but she has always been a very moral girl. 12:37:10

 

107. 12:37:20: I just cant relate to this, at all. 12:41:09

 

108. 12:41:11: Thats understandable. 12:43:17

 

109. 12:44:10: What if something suddenly happened to me? 12:48:01

 

110. 12:48:10: I dont 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: YesIn 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 theyve 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 wont 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: Lets 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 weve 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 dont do much now, except continue to monitor Majas 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 youd like a little ceremony to give her a dignified farewell 16:38:06

 

141. 16:38:17: - but Maja wasnt a Christian or anything, so it feels a little strange 16:44:09

 

142. 16:44:15: You dont need to be a Christian to make a small ritual. 16:50:22

 

143. 16:51:01: now its all about what you need 15:55:01

 

144. 16:55:06: Well, I think wed like to do that16:59:16

 

145. 17:06:08: No matter how religious we are or arent, 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 doesnt 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 Im 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, whats 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 couldnt 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 Id 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. Im 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 Im saying, is actually true 22:22:23

 

184. 22:23:11: - and that its 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 Id 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 didnt 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 its 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 didnt 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 wouldnt 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 wasnt 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 couldnt 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 dont 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 Im here today 26:18:19

 

224. 26:19:02 : - and about all the things that Im able to do 26:22:06

 

225. 26:22:10 : - I cant 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 hadnt received a new heart I would have died 26:38:23

 

229. 26:39:02 : - so it has saved my life. 26:42:14
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