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Normally
a patient needs to go to hospital here is reverse way. The hospital goes to
the patient. |
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A DOCTOR SHORTAGE |
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Lifeline
express, lifeline express! |
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All this will be treated for free at our railway
station. |
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BUT A TRAIN BRINGS HOPE |
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CAL: IS LIFELINE
EXPRESS A LAST CHANCE FOR A LOT OF PEOPLE? DR: Many
people, many people. it is a one and only chance for them. |
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LIVES WILL BE CHANGED |
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Mum/ Oh my they have done a great job, they will become
famous in the whole of India. |
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STORY TITLE: INDIA’S HOSPITAL TRAIN |
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TITLES |
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MAP: INDIA – MUMBAI – LATUR |
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VO: IN INDIA, TRAINS ARE A SYMBOL OF
LIFE. BUT
THERE’S ONE TRAIN LIKE NO OTHER… THE LIFELINE EXPRESS DR NILESH: this train is a unique one. UPSOT/
HI. So, it is a totally different concept
altogether. A TEAM
OF SURGEONS, AND SPECIALISTS, COOKS
AND CLEANERS ARE ABOUT TO EMBARK ON A 6 HOUR JOURNEY BRINGING HEALTHCARE TO
THOSE WHO CAN’T AFFORD IT IT ALL HAPPENS ON BOARD THIS FULLY
FUNCTIONING HOSPITAL ON WHEELS DN: Lifeline Express is the first in
the world, where there are operating theatres on the train and that train
travels throughout the country especially in the areas where the basic
facilities and amenities are also not available. |
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HERE ALMOST
900 MILLION PEOPLE - LIVE IN RURAL VILLAGES WHERE
FOR MOST - ACCESS TO MEDICAL CARE IS IMPOSSIBLE… … TODAY, MUCH
NEEDED DOCTORS ARE HEADING TO LATUR IN EASTERN MAHARASHTRA. |
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Crier
in tuk tuk/ Lifeline express lifeline express lifeline express |
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CRIER/
Lifeline express, lifeline express, is here at latur railway. |
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Villager
off cam: What is it about? Crier/
Mouth cancer, eye problems, etc. Ear problems. Cleft lips. All this will be
treated for free at our railway station. [00:30:53] HERE IN LATUR, THIS IS SOCIAL MEDIA… |
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VO: MOST OF THESE VILLAGERS WILL HAVE NEVER
VISITED A DOCTOR, BECAUSE THEY ARE TOO FAR AWAY AND TOO EXPENSIVE CRIER:
they will not charge anything, not even a rupee, everything free. [00:31:42] |
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OVER THE NEXT FEW DAYS - DR NILESH AND THE
LIFELINE EXPRESS TEAM WILL PERFORM AS MANY OPERATIONS AS THEY CAN BEFORE THE
TRAIN IS SCHEDULED TO DEPART. WORD
HAS SPREAD FAST. FAMILIES TRICKLE IN FROM SURROUNDING TOWNS AND VILLAGES ALL
HOPING FOR A MEDICAL MIRACLE. |
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MUM
+ DAUGHTER [00:22:15] M/ She is four years old. [00:22:18] M/ And she is
not able to walk. [00:22:22] M/ It's from birth. One leg is bent, she
can't Walk properly. [00:22:32] |
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CHECK
SHIRT GFATHER [00:30:31] Man/ This right side is twisted. And therefore he
has to walk bent. [00:30:39 00:35:48] C/ How are
you feeling today are you nervous? Boy/
I'm feeling good I'm hoping my leg will be cured. |
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THE DOCTORS ARE LOOKING FOR PEOPLE WITH
AILMENTS THAT CAN BE FIXED ON BOARD THE TRAIN. NO ONE WANTS TO MISS OUT |
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D2 GH5 C1 DR RISHI IN SITU we
are only two doctors [01:35:47] here obviously there are a lot of patients, [01:26:28]
So we are screening the patients right now, we are examining them. We are
preparing [01:26:32] our operation theatre list for whom we will be operating
on in the next one or two days. |
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IT’S PRETTY MUCH ORGANISED CHAOS HERE
TODAY. SOME FAMILIES HAVE TRAVELLED UP TO FOUR HOURS FROM NEARBY VILLAGES TO
BE HERE. ALL OF THEM, ARE DESPERATE FOR JUST A FEW MINUTES WITH THESE
DOCTORS. |
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Doc
Rajesh/ Where's the child? [01:59:37] Put him on this table. [01:59:39] [02:00:11]
Doc Rajesh/ When was he born? And where? [02:00:13] M/ He was born at
home. [02:00:15] Rajesh/ Was he born full term or was it
less? [02:00:20] M/ No it was full term. [02:00:20] |
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DR RAJESH IS AN ORTHOPAEDIC SURGEON
FROM MUMBAI, HE’S EXAMINING TWO BROTHERS WITH CEREBAL PALSY TO SEE IF HE CAN
HELP THEM 02:00:43]
R/ Does he stand? Make him stand. [02:00:48] |
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[02:02:33]
RAJESH/ Bring the second one. Who's this? [02:02:36] R/ [Off cam: Wait
let me finish with him first] [02:02:43] R/ Ok leave him
come. [02:02:48] Come! [02:02:51] R/ Very good.
Come. [02:03:08] Come. here. [02:03:12] R/ wait wait. Let me check
him first. [02:03:16 |
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[02:14:02]
DR RAJESH: if you don't treat him now, okay over a period of time he will get
bone deformities because muscles are very tight so they IT’S GOOD NEWS FOR YOUNG VIRAT AND
ADITYA. BOTH ARE APPROVED FOR SURGERY. |
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[02:01:58]
R/ So we have to loosen up the muscles [02:02:08] There will be a small
surgery, then there will be a plaster applied for 3 weeks - 20
days. [02:02:13] [02:02:20]
Do you understand? Parents/ Yes. R/ Ok? Admit him. [02:02:22] Bye bye. |
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THE DOCTORS ARE HERE TO TREAT A VARIETY OF
CONDITIONS…FROM CANCER SCREENINGS TO CATARACTS, FOR THE OLD AND THE YOUNG,
LIKE 4 MONTH OLD BABY ARUV WHO HAS A CLEFT LIP… [00:36:57]
Arti in situ/ He can't suckle hard enough to drink milk. HIS MUM IS WORRIED BECAUSE HE CAN’T BREASTFEED PROPERLY. He doesn't
suckle with enough strength. And he gets distressed when he can't do that,
and gets angry and cries. [00:37:10]
[00:37:52] Art/ |
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HE’LL NEED PLASTIC SURGERY TO JOIN
THE MUSCLES IN HIS LIP. |
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00:54:30] Doc/
Have you shown the child to any other doctor before?[00:54:31] Mum/ No. Doc/
No where? Mum/ No where. BUT HIS LOW WEIGHT MAKES OPERATING
RISKY. |
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[00:59:17]
PRODUCER: Is he malnourished? |
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THE PLASTICS TEAM IS ASSESSING
WHETHER HE’S FIT FOR SURGERY Doc Rishi to patient/ Between three
to six months old we can do it. But HIS WEIGHT IS LOW HE’LL NEED TO WEIGH
MORE [00:55:13]THE MINIMUM WEIGHT RE REQUIRE IS BETWEEN 8 – 10 KILOS BUT NO 3 MONTH OLD BABY WEIGHTS 8
KILOS RIGHT CLEFT LIP WE’LL DO IT THE DOCTORS AGREE TO GO AHEAD |
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AS THE SCREENINGS WRAP UP, MORE THAN 40
PATIENTS ARE SELECTED FOR SURGERY. |
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BACK AT HOME, IT’S AN ANXIOUS WAIT
FOR THE FAMILY OF THE TWO YOUNG BROTHERS WITH CEREBRAL PALSY |
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Dad/ I
never imagined that my kids would be like this, [01:19:44] [01:21:05]
Mum/ I was very sad. Everyone else's children were walking and mine weren't.
I just kept thinking about this. [01:21:12] I would watch other children
walking and wonder when WILL MY CHILDREN WALK? [01:21:18] |
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LOOKING AFTER 7 YEAR OLD VIRAT AND 4
YEAR OLD ADITYA IS A FULL TIME JOB. UPSOT
MUM COMES OUT WITH FOOD |
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[01:22:50]
Dad Master IV/ if they want to eat, we have to feed them. The boys they can't
do anything on their own. [01:23:00] If they want to go to the toilet we
have to take them and hold them up, [01:23:04] |
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[01:36:28]
We spent $INR2000-$3000 on oil and tried it for a month but nothing happened.
We were conned. [01:36:36] 01:25:47]
Dad Master IV/ We are daily wage earners, every time someone tells us about a
clinic we go there, and so whatever I earn in the week that is spent on the
travel to visit these clinics. We have borrowed about INR 150, 000 to INR
200,000 from others in the village. [01:26:03] [01:26:28]
Calli/ Are you in debt [01:26:33] Dad/ Yes we are in debt. INR
150, 000 to INR 200,000 |
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HARIDAS EARNS LESS THAN 3 DOLLARS A DAY – HE’S
BORROWED ALMOST 4,000 DOLLARS SEEKING TREATMENT FOR HIS SONS - IT WILL TAKE
YEARS TO PAY BACK |
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[01:34:43]
Dad Master IV/ This is our last attempt. We are so tired of visiting doctors.
so if everything goes well here, then that's great, but if nothing happens
then we'll just stop looking for any further treatment. That will be it, we
will look after them as they are. [01:35:09] |
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BACK AT THE LIFELINE EXPRESS, IT’S AS
BUSY AS ANY BRICKS AND MORTAR HOSPITAL. |
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[00:48:38]
This is chicken curry, okra fry D7
GH5 C1 [00:28:26] In the train, each member of the staff has their own role
to play. Everyone has a responsibility and if they don't perform their
responsibility, the train will not be able to function |
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RAJ – THE TRAIN’S HEAD CHEF |
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[00:40:59] DR NILESH: Basically to operate on a
train is coming out of your comfort zone of operating in the major hospitals.
It is a challenging one because it is unfamiliar situation and you are not
aware of many things but we have to put up with the limitations if we are to
serve the people. |
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OUTSIDE EVERYONE IS WAITING TO BOARD
THE TRAIN. UP FIRST ARE ADITYA AND VIRAT - THE TWO YOUNG BROTHERS WITH
CEREBRAL PALSY. |
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I can’t imagine how people here are
feeling. They’re tired, they’re anxious, and in a minute they’re gonna walk
through that door and hop on an operating table, for a surgery that could
change their life. [00 36 55] |
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D4 GH5 C1 MASTER IV/ when I'm doing a one case that is only one case for me I
don't think about anything else other than that particular case. |
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UPSOT
RAJESH IN OP THEATRE/ 00.59.03 Rajesh looks at / **all medical terms..and
cast. We will take this and start from here. It's a small child.
00.59.23 |
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D4 GH5 C1 MASTER IV/ So my hundred per cent, my brain and my
heart both is with that patient. [01:13:05] 00.58.46
Rajesh Directing / Abishek, one minute. Take the gospis, hold his toe, and
lift it up. / Asks about gloves. Who's painting? 00.58 |
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are
planning to release his (…) to his tendon.. (…) 01.00.08
/ Rajesh/ He is walking on his toes. So when we release it, he will be able
to get like this one. So that is why we are doing that. [01 00 14] |
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01.05.09/
Rajesh/ Inside. Ashiya, flex it. Take out the gown! 01.07.57 Just go
below the skin, and start, and then cut cut cut. 01.08.00 IT’S A DELICATE SURGERY…ONE WRONG
MOVE COULD END IN AMPUTATION 01.08.00
Just like you hold a pen, now see, you palpate it, and a bit higher, go in,
stretch it, 01.08.18 |
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[02:23:47] DR: No. if I cut it
completely I have to repair it again. It comes with the time it comes with
the experience. It looks simple but it's not simple. [02:24:44] |
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01.09.05
RAJESH SHOWS FLEX/ OK you can see this now. 01.09.15/ Rajesh/ Can you see the
dociflection. Yes. I heard the
click sound there, Rajesh/ Ok that’s fine, that's fine. Done done, we
only have to do the cast now. 01.09.33 |
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I can’t quite believe how
straightforward that operation seemed to be – a simple incision, manipulating
the muscles, and putting on a plaster cast is the difference between that boy
being able to walk and not |
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[01 10 54] CALLI: So it went well, it
seems so easy! [01 10 57] DR RAJESH: Yeah so easy
right! It’s a
technique, it’s a technique [01 11 00] [01 11 09] CALLI: and are you able to
shut out all the stress and the noise? I mean there’s a crying baby in here
right now [01 11 13] [01 11 13] DR RAJESH: I mean we are
used to it, already, I mean we can’t help it [01 11 17] IN MARATHI TO
BABY/ Okay, now! Enough, enough,
enough baba. |
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AS SOON AS ONE PATIENT IS TAKEN TO
RECOVERY, A NEW ONE IS SEDATED. IT’S A NON STOP CHAIN OF OPERATIONS
AND ALL OF THEM, INCLUDING THE BROTHERS, ARE A SUCCESS. |
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THOUGHT TRACK DR NILESH MASTER
IV/ [00:28:00] Whenever I feel
stressed and not able to focus I start, my favourite song starts ringing in
my brain. So it helps to calm my nerves and able to concentrate on my job. [00:29:00]
That means " I have to go some
where else but because of your beautiful face I drawn towards you." |
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TODAY, A YOUNG GIRL IS HAVING HER
CLEFT LIP REPAIRED… |
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TOMORROW WILL BE BABY ARUV’S TURN BUT
AT ONLY 4 MONTHS OLD, THE RISK WILL BE MUCH HIGHER |
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N/
Hey baby!!! [00:10:21] Wife/ Hey baby. Look here |
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DR NILESH CAN’T HELP BUT THINK OF HIS
OWN SON EVERYTIME HE OPERATES ON A CHILD |
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D5 GH5 C1 THOUGHT TRACK [00:59:21] DN
I was very excited when he was born. We planned him for almost 2 years after
our marriage. Because we wanted to make sure that we are |
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00:12:28] Hey baby.... I just reached
here.... Go to the park and then call me later... |
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[00:16:47] DR NILESH: I am lucky that my child is absolutely normal. [00.17.00] So yeah I always keep on comparing that, that thought keeps on haunting me whenever I operate on a kid with a cleft so I try and give as much as possible to those babies. [00.17.15] |
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[00:20:01] DR NILESH: The generally have very like, callous attitude towards them, they are not accepting them with open hearts. Like they think that they may be a curse to the family So it is very troublesome for the father and mother to have, to be with a child with a cleft. |
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[00:35:15] Arti/ Everyone said that during
the lunar eclipse I USED A KNIFE, and that's why this has
happened. [00:35:17] [00:36:08] Mum/I feel like just because I
cut something, now he must suffer for a lifetime. [00:36:18] |
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BECAUSE OF HINDU
SUPERSTITIONS AROUND PREGNANCY - ARUV’S MOTHER FEARS SHE’S CURSED HER
BABY. SHE HOPES TODAY THE DOCTORS CAN BREAK THE CURSE |
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[00:42:07]
Arti/ When I hand my child over to the doctor, I will just be praying to god
that everything will go well. [00:42:20] **Tears up** I just hope that
there will be no complications during the operation. [00:42:24] |
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The train has come, the train has come.[00:14:34] THE OPERATION IS SCHEDULED TO HAPPEN
IN LESS THAN AN HOUR. BUT ON BOARD THE
TRAIN DOCTORS ARE DEBATING WHETHER OR NOT THEY CAN GO THROUGH WITH IT. |
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Rishi/
Patient's fitness is not ok. A PHYSICAL EXAMINATION BY A LOCAL
ANAESTHETIST HAS REVEALED BABY ARUV HAS A CHEST INFECTION. |
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D4
GH5 C1 00.28.56 Dr NIlesh in situ IV/ it is basically an infection of the
lungs so he might be having some cough & cold, that sort of thing,
running nose. So they are not planning to give it. THE OPERATION CAN’T GO AHEAD. Calli/
Have you told the family this already? Dr Nilesh/ No I will just tell them
this now. 00.30.52 |
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D4
GH5 C1 [00:42:19] Dr Rishi/ That's the mother. [00:42:20]
Dr Nilesh/ Where's the father? Rishi/ Amar come here. [00:42:28]
Dr NIlesh to Dad/ This anaesthetist feels there is an infection in the chest. [00.44.31]
ARTI LISTENING LOOKING ANNOYED ADD
THIS SOT AS THOUGHTTRACK/OLAY IT TO FLESH OUT- D5 GH5 CARD We cannot do it
today. [01:08:20] So once the chest infection is settled, the operation
can take place.[01:08:27] 00.44.43
WS DR RISHI + ARTI AND DAD Amar talking/ Dr Rishi/ We want to do the
operation, but dealing with a small child his life is also important.
00.44.51 |
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THOUGHTRACK:
[01:17:46] Amar/ The last three days have been really difficult |
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IT’S BEEN AN EMOTIONAL FEW DAYS AND
AFTER WATCHING THE SUCCESS OF SO MANY OTHER OPERATIONS - ALL THEY CAN DO IS
RETURN HOME. |
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The
patient has to be fit to undergo the operation, there is no point putting the
patient at risk, so THAT’S OK It is part and parcel of the surgery |
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WHILST ONE SET OF PARENTS WALK AWAY
WITH HEARTCHE. ANOTHER …WILL LEAVE OVERJOYED |
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01.28.23
DR NILESH/ Open your mouth, open your mouth...Open your mouth wide, ahhh.
01.28.29 DR NILESH’S CLEFT LIP OPERATION ON THE
YOUNG GIRL WAS A SUCCESS 01.28.43
Dr Nilesh/ The swelling will recede in seven days. During the operation, we
took out some muscle from inside and fixed it - which is why there is some
swelling there. 01.28.51 |
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01.32.58
MUM SMILING/ SHE was not looking good
before, she wouldn't go anywhere, she would cover her mouth in shame.
01.33.05 Now she goes everywhere, she even goes to school. 01.32.57
Mum/ now she will definitely get married. With a cleft, she wouldn't have got
married. These people have completely fixed her. Calli/
What do you think of the lifeline express? 01.31.52
Mum/ Oh my they have done a great job, they will become famous in the whole
of India! 01.31.49 01.34.00.
Mum/ Come on.... Bye bye. Say bye khushi. 01.34.16 Bye bye. 01.34.23 01.34.26
Doctors smile and wave * Bye bye. |
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[00:03:22]
MUM/ Don't cry don't cry we are close to home. |
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Mum:
Sleep here sleep here. D/ Don't cry don't cry. [00:04:29] Hold his
legs. [00:04:35] D/ Put the pillow behind him. [00:04:47] [00:06:16]
DAD/ You drink. Open your mouth, open your mouth. [00:06:22] Enough do
you want more? [00:06:29] |
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IT WILL BE A FEW MORE WEEKS, BEFORE ADITYA
& VIRAT’S CASTS ARE REMOVED – BUT WHEN THEY DO, THEY WILL WALK. |
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[00:31:10]
Dad/ We are feeling elated. [00:31:10] It's like a rebirth for our child
and for ourselves as well. [00:31:13] We feel all our problems are over
now. [00:31:16] [00:38:27]
Mum/ They will stand on their two feet and they won't require our assistance
anymore. [00:38:40] |
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GRANDMOTHER
WITH KIDS/ [00:27:46] Grandmother to elder brother/ Why did the doctor do
this? Did it hurt you? Did you cry? [00:28:07 |
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[00:37:15] Dad/ All this has happened
because of the doctor's blessings, they came to us like god and helped
us. [00:37:26] |
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FOR A
HEALTHCARE SYSTEM NEAR BREAKING POINT… THERE ARE ALWAYS MORE PATIENTS TO
TREAT… |
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DR NILESH MASTER IV [01:07:31] CAL: DO
YOU FEEL LIKE YOU'RE MAKING A DENT? [01:07:33] DN: Not dent, not a dent
just a scratch maybe. 01:07:41] DN: What ever we are doing
it's just a small part in a big thing. Like it's just a drop of water from
the ocean. |
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Both
boys have had their casts removed Now
they are walking. |
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Baby
Aruv eventually got his operation. IT WAS
A SUCCESS |