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For Fred and Karen Schouten (Bruce Greenwood, Michele Greene) the news that she is pregnant is most welcome having been trying for a while with no success. Gordon and Alice Holc (Terry O'Quinn, Ann Jillian) are also happy as whilst they already have one child they learn that at 35 Alice is pregnant again. But both couples receive devastating news as Fred and Karen are informed that their yet born baby has a brain defect and has no chance of surviving whilst Alice and Gordon learn that their baby has a defective heart and also has little chance of surviving..
Transcript
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00:00:20a sweater
00:00:22no
00:00:24a bracelet
00:00:26oh come on try and be a little more imaginative
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00:00:56We designed peeler for telephone poles.
00:01:20Basically what you do is you cut down the tree and you put it on a kind of air belt and it strips off the bark.
00:01:26You invented that?
00:01:27Yeah.
00:01:28Didn't you know I was married to a genius dad?
00:01:30How much did he get paid for something like that?
00:01:33Oh, that's a military secret.
00:01:36I'm kidding.
00:01:39Do you want to make the tea?
00:01:41The bags are on the top shelf there.
00:01:43Okay.
00:01:46Dinner was great.
00:01:51How's that baby thing coming?
00:01:55No, not so good.
00:01:58Well, not that we haven't been trying.
00:02:00It's just that it's been already a year for us and we both want a baby so badly and I don't know, maybe it's just not meant to be.
00:02:08Nonsense.
00:02:09You and Fred just work too hard.
00:02:11All you need is a couple of weeks on a beach somewhere with no deadlines and no pressures.
00:02:16Now that sounds great, but it's not very realistic.
00:02:19Fred's in the middle of a project.
00:02:20I'm doing all the repairs at the house.
00:02:22The animals need tending to.
00:02:23Not tonight.
00:02:24I finally got the fireplace and the guest room working.
00:02:29There's a stereo, great music, scented candles.
00:02:34What are you doing?
00:02:36You're hitting the mood.
00:02:37I want you two to relax and enjoy yourselves.
00:02:40I'm so embarrassed.
00:02:43I'm so embarrassed.
00:02:44I think you're wise to me too.
00:02:47I don't know.
00:02:48Now you want to get around.
00:02:49Mom?
00:02:50Which one is goofus?
00:02:51And which one is Alice?
00:02:52Right here.
00:02:53Sit down.
00:02:54Okay, okay.
00:02:55Always like that hidden picture.
00:02:56It's fine.
00:02:57Alice Holt?
00:02:58Sure.
00:02:59Dr. Franklin.
00:03:00Hello.
00:03:01Oh, it's good.
00:03:02Congratulations.
00:03:03It's a normal pregnancy.
00:03:04Oh.
00:03:05It's terrific.
00:03:06Oh, that's wonderful.
00:03:07Wait, Jason finds out.
00:03:08He's been driving us crazy wanting a brother or sister.
00:03:10Well, according to my opinion, I don't know.
00:03:12I don't know.
00:03:13I don't know.
00:03:14I don't know.
00:03:15I don't know.
00:03:16I don't know.
00:03:17I don't know.
00:03:18I don't know.
00:03:19I don't know.
00:03:20I don't know.
00:03:21I don't know.
00:03:22I don't know.
00:03:23I don't know.
00:03:24I don't know.
00:03:25I don't know.
00:03:26Well, according to my calculations, you should have one around the first week in November.
00:03:31Why don't you sit down?
00:03:32There are a few things I want to discuss with you.
00:03:39First of all, because of your age, I think an amniocentesis is advisable.
00:03:46Isn't there a risk of miscarriage with an amnio?
00:03:49It's very slight.
00:03:51No, I don't want to take the risk.
00:03:53Alice, when you're 35 years old, the possibility of having a Down syndrome chart increases.
00:04:00I'd still have the baby.
00:04:02Why don't you both think this over before you make a decision?
00:04:06We have thought it over.
00:04:08You know, it hasn't been easy conceiving this baby.
00:04:13And we're going to love it no matter what.
00:04:15What do you think of this?
00:04:16I think this is one of the ugliest things I've ever seen.
00:04:30You have no taste.
00:04:32Okay.
00:04:33Um...
00:04:34Hey, what about this eagle?
00:04:35That's the ugliest thing I've ever seen.
00:04:36Yeah.
00:04:37Well, this is nice.
00:04:38This is nice.
00:04:39Well, it's all spotted.
00:04:40Well, you can replace the mirror part.
00:04:41Just look at the frame.
00:04:42Well, why in the world do you want to buy something?
00:04:43You just have to take home and fix it.
00:04:44They're antiques, Fred.
00:04:45What?
00:04:46I love antiques, but they're used.
00:04:47Now, this.
00:04:48This is nice.
00:04:49It's $150.
00:04:50This we should get.
00:04:51This is nice.
00:04:52This is nice.
00:04:53It's $150.
00:04:54This we should get.
00:04:55This is nice.
00:04:56It's $150.
00:04:57This we should get.
00:04:58This is nice.
00:04:59It's $150.
00:05:00It's $150.
00:05:01What do you think of this?
00:05:02Well, a cradle, this is what do we need a cradle?
00:05:04Since now.
00:05:05What?
00:05:06No.
00:05:07No.
00:05:08No.
00:05:09No.
00:05:10No.
00:05:11No.
00:05:12No.
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00:05:17No.
00:05:18No.
00:05:19No.
00:05:20No.
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00:05:31No.
00:05:32No.
00:05:33No.
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00:05:35No.
00:05:37Oh!
00:05:38No!
00:05:39No!
00:05:40No!
00:05:42No!
00:05:55Gary!
00:05:56If this flick is too scary, I'm going to hold you personally responsible.
00:05:59Well, it's not for little kids, you know.
00:06:00Forget little kids. It's my wife I'm worried about.
00:06:03See you.
00:06:04See you, Gord.
00:06:08Hi, Alice.
00:06:09Hi, Terry.
00:06:10How's the pregnant lady?
00:06:11Great.
00:06:12You look great.
00:06:14Bye.
00:06:15Bye-bye.
00:06:17Gord.
00:06:18Hi, Anne.
00:06:19Hi.
00:06:19Just give me a minute.
00:06:20Sure.
00:06:21How to go to the doctor.
00:06:23Okay.
00:06:29The doctor wants the baby to get a fetal echocardiogram.
00:06:34What's that?
00:06:36It's a detailed scan of the baby's heart.
00:06:41How come?
00:06:43Well, you know, my sister has those heart problems,
00:06:46and one of my father's brothers died of a heart defect when he was a child,
00:06:51so the doctor says these things could be genetic.
00:06:55Why didn't he suggest this when you were pregnant with Jace?
00:06:57I don't know.
00:06:57I don't know.
00:06:59Maybe they didn't have that kind of testing available then.
00:07:02He didn't say anything was wrong.
00:07:04He just wants to do it for precaution.
00:07:09But you're nervous.
00:07:13Yes, I'm nervous.
00:07:16What if something's wrong after all this?
00:07:17The baby is fine.
00:07:19It's just fine.
00:07:21I hope.
00:07:23Look, we've had setbacks and disappointments for the last four years.
00:07:27I'd say we're due for a little good news, hmm?
00:07:31Let's go home.
00:07:36Hello.
00:07:36What's your sound?
00:07:37Karen, it's really pretty standard these days.
00:07:39Yeah, until I find out ten years from now, it causes some kind of irreversible damage.
00:07:43What's the point of having one exactly?
00:07:46Well, to see how far along Karen is, the size of the baby, and of course to make sure the baby's developing properly.
00:07:52Was there any reason to think it wouldn't?
00:07:54Well, no, but...
00:07:56Well, then, why should I take any tests?
00:07:58You know, I feel great.
00:08:00You know, I have no morning sickness.
00:08:02I'm full of energy.
00:08:03I'm eating right.
00:08:05I'm taking my vitamins.
00:08:06I'm taking long walks.
00:08:07I don't drink.
00:08:09I don't smoke.
00:08:09It's just that we want to do this as naturally as possible.
00:08:16I see.
00:08:17And does that involve having natural childbirths?
00:08:20Absolutely.
00:08:21In fact, we've decided to have the baby at home.
00:08:25Karen, I wish you would reconsider that.
00:08:28We've already spoken to a midwife.
00:08:30It's not something that I recommend.
00:08:35Women have been doing it for thousands of years.
00:08:38I know that.
00:08:39But they had no hospital environment to choose from.
00:08:41Well, it's exactly that hospital environment that I'm not crazy about.
00:08:45I mean...
00:08:46I mean, you know, I don't like tests.
00:08:49I don't like needles.
00:08:50And you're always hearing, right, that someone went into the hospital for something small,
00:08:55and they come back with a bigger problem, or they don't come out at all.
00:08:58Well, now, if something like that were to happen to us with this baby...
00:09:01Karen, there is much more of a likelihood of something happening without proper medical care.
00:09:06So you think it's too dangerous?
00:09:08Fred, we agreed about this.
00:09:11I know, but if it's going to jeopardize you or the baby in ways we haven't considered...
00:09:15Am I having a normal pregnancy without complications?
00:09:19Well, yes.
00:09:20Is there any reason to think that that won't continue?
00:09:23No.
00:09:25Okay.
00:09:26Okay, there's nothing to worry about.
00:09:28This is just like a prenatal ultrasound, except he takes a specialized look at the heart
00:09:33as a separate entity from the whole fetus.
00:09:35All we're going to do is take some pictures.
00:09:37Okay, Susan.
00:09:38Does everything look all right?
00:09:57Just give me another moment, okay?
00:09:59Okay, that's fine, Susan.
00:10:13Why don't you get dressed, and we'll talk about this in my office.
00:10:16No, please.
00:10:17Tell us now.
00:10:18There appears to be a problem with the baby's heart.
00:10:22I'm not sure what it is.
00:10:23At 24 weeks, it's too early to see that kind of detail.
00:10:27When will you be sure?
00:10:2828 weeks.
00:10:29We'd have a better idea.
00:10:31But whatever it is, it's something that may be correctable after the baby's born.
00:10:34Correctable how?
00:10:36With surgery.
00:10:36But you won't know for another four weeks.
00:10:41Right.
00:10:43Oh, God.
00:10:43No, it's okay.
00:10:45It'll be okay.
00:10:46I know what you're thinking.
00:10:58I know what you're thinking.
00:11:01I'll take a bite.
00:11:02It doesn't mean everybody get.
00:11:08Oh, God.
00:11:10Just stay there.
00:11:12lunch I love being pregnant you know that hey I love it too it's been amazing Fred we're gonna
00:11:29be parents it's hard to imagine huh be totally responsible for another human being are you
00:11:38scared I don't yeah I don't know maybe some little yeah I'll tell you one thing though
00:11:46it's gonna be the most important thing I've ever done in my life
00:11:50I'm just glad I told you that
00:12:06what do you think of his layers on you I don't think he's great what do you mean he's hysterical
00:12:12damn you all right yeah yeah yeah I'm okay yeah I'm okay let's just go home
00:12:32come on guys give me a chance let me finish Fred yeah I can't feel the baby what I don't feel
00:12:54anything there's no movement no kicking what are you sure of course I'm sure the baby's been kicking
00:13:00for weeks okay all right well I'll call the doctor we've got to go to the hospital honey don't panic
00:13:06I mean there could be a lot of reasons for this like what well I don't know I'll ask him I'll call
00:13:10a doctor but I want to go to the hospital now okay well hospital
00:13:17okay
00:13:24okay
00:13:29okay
00:13:36What is this thing?
00:13:50It's called a fetal monitor. It's used to check the baby's heartbeat.
00:13:57There it is.
00:14:00Do you hear that sound?
00:14:01Is that the most beautiful sound you've ever heard?
00:14:03What did I tell you?
00:14:04I'd like to do an ultrasound as well, just to make sure everything's all right.
00:14:09Why? We heard the heartbeat.
00:14:11Well, the heart's only one organ, Mrs. Shouten.
00:14:13I'd like to have a look at the entire fetus.
00:14:15We don't really like all this technological stuff.
00:14:17I understand, but it's a very safe procedure.
00:14:20It'll only take a couple of minutes.
00:14:22It's better to be safe than sorry.
00:14:23I don't think so.
00:14:24I do.
00:14:27Come on, we're here already.
00:14:30We had a big scare.
00:14:31I'm just not going to have any peace of mind unless I know everything's okay.
00:14:34I was driving the truck.
00:14:37I feel responsible.
00:14:39Okay.
00:14:42Okay.
00:14:44Okay.
00:14:47Do you want to hear something you haven't heard before?
00:14:50Yes.
00:14:51I'm hungry.
00:14:52Do you want to hear something you haven't heard before?
00:14:54Okay.
00:14:55All right.
00:14:55I'll tell you about it.
00:14:57We rent a movie.
00:14:59We go home.
00:15:00You relax.
00:15:01You're climbing to bed.
00:15:02Is there a bird in here somewhere?
00:15:03Yes, there's a bird in here.
00:15:04I'll fix you dinner.
00:15:04I'll bring it to you in the bowl.
00:15:05Okay.
00:15:06It's okay.
00:15:07It's okay.
00:15:10That's an offer I cannot refuse.
00:15:11Who's your obstetrician, Mrs. Sheldon?
00:15:15Dr. Garland, why?
00:15:17I'm going to call him.
00:15:18I think you should come in for another ultrasound.
00:15:22Why?
00:15:22Did you see something wrong?
00:15:24Oh, I'm sure everything's okay.
00:15:25I'm just the technician, but why don't we wait till we talk to your doctor?
00:15:37And as she puffed down the mutton, she seemed to say,
00:15:40I thought I could.
00:15:41I thought I could.
00:15:43I thought I could.
00:15:46The end.
00:15:47When did it again?
00:15:48Forget it, Buster.
00:15:49It's way past your bedtime.
00:15:52Tomorrow morning?
00:15:53I don't think so.
00:15:56Tomorrow, Mom is going to the doctor.
00:15:58There won't be time.
00:15:59Tomorrow night?
00:16:01We'll see.
00:16:02Sweet dreams, honey.
00:16:03Good night.
00:16:08Mom?
00:16:09Hmm?
00:16:10Can the baby hear things in your stomach?
00:16:17Some doctors say they can.
00:16:20Can I say good night to the baby?
00:16:23If you want to.
00:16:30Good night, little baby.
00:16:32This is your brother talking.
00:16:34See you in...
00:16:36How many weeks, Mom?
00:16:39Twelve.
00:16:41See you in twelve weeks.
00:16:42I love you.
00:16:43I love you, Chase.
00:16:47Come on.
00:16:48Under the covers.
00:16:51Here we go.
00:16:52You working?
00:17:22Call Dr. Garland, call.
00:17:29He wants to see us tomorrow at 11.
00:17:36What do you think it is, friend?
00:17:38Well, I think we should wait and talk to the doctor before we jump to any conclusions.
00:17:42Could be Down syndrome.
00:17:44Stop it.
00:17:46Look, I'm not going to let you torture yourself on top of everything else.
00:17:51Okay?
00:17:52Whatever it is, it's our child.
00:17:56And we'll handle it.
00:18:01I'm scared, friend.
00:18:02I know.
00:18:03I know.
00:18:04I know.
00:18:05I know.
00:18:37Your baby has something called anencephaly, which means the brain hasn't developed normally.
00:18:45Uh, how did this happen?
00:18:49No one knows how it happens, Fred.
00:18:51Instead of developing normally, all she has is a rudimentary brain stem.
00:18:54She?
00:18:56It's a girl.
00:18:59Yes.
00:19:02Is there some kind of surgery?
00:19:04Some special treatment?
00:19:05No, I'm afraid not.
00:19:07Will she die?
00:19:14Either she will be born dead, or she will die within a few days of her birth.
00:19:19No, that's not possible, because we hurt her heart beating.
00:19:23Her heart is fine, that's not the problem.
00:19:26You've been kicking and moving for months.
00:19:28And she can't survive, and there's no medicine or surgery that will ever change that.
00:19:34No.
00:19:35Oh, my God.
00:19:37She's never going to know us.
00:20:02We're never going to feel her touch.
00:20:11We're never going to hear her laugh.
00:20:16We're never going to watch her take her first step.
00:20:18No.
00:20:23No.
00:20:26Oh, my God.
00:20:28No.
00:20:28Oh, my God.
00:20:30No.
00:20:30Oh, my God.
00:20:30Oh, my God.
00:20:32I'd like to explain to you what we're looking at.
00:20:56Just tell us yes or no.
00:21:02I'm sorry to tell you this, but the left ventricle of the baby's heart is not developing the
00:21:09way it should.
00:21:13What exactly does that mean?
00:21:15A child cannot exist outside of the womb without both the left and the right ventricles.
00:21:22And the left side of the heart is not functioning at all.
00:21:46A child cannot exist outside of the womb without both the right ventricles and the right ventricles.
00:21:57Tell me again.
00:22:04I want to understand, I want to comprehend what's happening.
00:22:10The baby has a condition called hypoplastic left ventricle.
00:22:17As long as he's inside you, he'll survive.
00:22:20He might even be born healthy, but then once he is born, his heart will slow down and then
00:22:24it will stop.
00:22:25There's only a 5% chance he'll survive the first 48 hours.
00:22:32It can't be true.
00:22:37Because if it is true, how am I supposed to go through my pregnancy?
00:22:44Oh, God, please.
00:22:59Let's not tell anybody else.
00:23:03I couldn't stand for anybody else to know.
00:23:07We're going to have to tell Jason.
00:23:11How?
00:23:12How do you tell a 5-year-old boy that his brother is going to die before he ever meets him?
00:23:18I don't know.
00:23:19I don't know.
00:23:22And when, when do I start planning the funeral?
00:23:38What's the protocol?
00:23:41Do I order the casket now?
00:23:44Or do I wait until after I give birth?
00:23:47Come on, Alice.
00:23:48It's not fair!
00:23:51It's not fair!
00:23:55No, it's not fair!
00:24:16Karen.
00:24:19We have to talk.
00:24:31Can you please stop that for just a minute?
00:24:37We have some decisions to make.
00:24:39Garland said he can take the baby now.
00:24:44Or you can wait the full, you can wait the full nine months.
00:24:48I'm carrying the baby to full term.
00:24:50Oh, you sure you want to do that?
00:24:51No.
00:24:52Isn't that, that's just going to make it harder?
00:24:53No, it won't.
00:24:54I want to have her with me as long as possible.
00:24:55You understand?
00:24:56Karen, she's not going to make it.
00:24:57No matter what.
00:24:58Do you think I don't know that?
00:24:59Do you think I don't know that?
00:25:00No, it won't.
00:25:01I want to have her with me as long as possible.
00:25:02You understand?
00:25:03Karen, she's not going to make it, no matter what.
00:25:04Do you think I don't know that?
00:25:05Okay.
00:25:06All right.
00:25:07Okay.
00:25:08Okay.
00:25:09If that's what you want, that's fine.
00:25:10That's fine.
00:25:11Now we have to decide if you want to have a cesarean section or if you want to deliver
00:25:14naturally.
00:25:15How can you even ask me that?
00:25:16I'm just asking.
00:25:17Let me have childbirth, okay, Fred?
00:25:18Let me have one thing that's normal.
00:25:19I'm just saying.
00:25:20Hey.
00:25:21Hey.
00:25:22Hey.
00:25:23Hey.
00:25:24Hey.
00:25:25Hey.
00:25:26Hey.
00:25:27Hey.
00:25:28Hey.
00:25:29Hey.
00:25:30Hey.
00:25:31Hey.
00:25:32Hey.
00:25:33Hey.
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00:25:36Hey.
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00:25:51Hey.
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00:25:54Hey.
00:25:55Hey.
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00:25:57Hey.
00:25:58Hey.
00:25:59Hey.
00:26:00Hey.
00:26:01Hey.
00:26:02Hey.
00:26:03Hey.
00:26:04Hey.
00:26:05Hey.
00:26:06Alice?
00:26:07Well, what are you doing here?
00:26:11I was in the neighborhood.
00:26:13Are you sick?
00:26:14I really wish you would have called first.
00:26:17Well, I have called.
00:26:19Every time I do, Gord says you're sleeping.
00:26:22What's the matter, Alyssa?
00:26:24No!
00:26:25No!
00:26:26No!
00:26:27No!
00:26:28No!
00:26:29No!
00:26:30No!
00:26:31No!
00:26:32No!
00:26:33No!
00:26:34No!
00:26:35What's the matter, Alyssa?
00:26:36There's something wrong.
00:26:37I did.
00:26:38So?
00:26:39Too tired to get even dressed.
00:26:40That's not like you.
00:26:42Mother, I'm not in the mood for criticism.
00:26:45I'm not criticizing Alice.
00:26:47I'm concerned.
00:26:48Okay.
00:26:49All right.
00:26:50There's nothing to be concerned about if I, really.
00:26:55All right.
00:26:57I'm sorry.
00:26:59I guess I've forgotten how hard pregnancy can be.
00:27:02Let me help you.
00:27:05Morning sickness, back pains, swollen feet.
00:27:11It's all worth it in the end though, isn't it?
00:27:16When you hold that beautiful baby in your arms, it doesn't matter what you're going through.
00:27:21Oh.
00:27:22Oh.
00:27:26If you told me you were coming, I'd bake something.
00:27:28It's all right.
00:27:29It's all right.
00:27:30Well, the tea's good and hot anyway.
00:27:32It's all good.
00:27:33Connie, Connie.
00:27:34Karen and I have something to tell you.
00:27:37It's about the baby and it's not, it's not good news.
00:27:43As a matter of fact, it's pretty bad.
00:27:47The baby has something called anencephaly.
00:27:51And what that means is her brain hasn't developed.
00:27:57There's no cure.
00:27:58There's no way to change it.
00:28:00So she can only live for a couple of days at the most.
00:28:05Karen.
00:28:06Oh my God.
00:28:07Where are you at?
00:28:08Oh, Fred.
00:28:09Karen.
00:28:10I'm so sorry.
00:28:11I don't know what to say.
00:28:12Are you sure there's nothing you can do?
00:28:13Yeah.
00:28:14Yeah, well sure.
00:28:15What about you, honey?
00:28:16Are you okay?
00:28:17Does this cause medical problems for you?
00:28:22No, Dad, I'm fine.
00:28:23The rest of the baby is still fine.
00:28:24No, I'm fine.
00:28:25I'm fine.
00:28:26No, no, no, no.
00:28:28I'm fine.
00:28:29I'm fine.
00:28:30No, no, no.
00:28:31I'm fine.
00:28:32I'm fine.
00:28:33No, no, no.
00:28:34No, no, I'm fine.
00:28:35No, no.
00:28:36No, no, no, no, no.
00:28:37No, no, no, no.
00:28:38The rest of the baby is perfectly healthy.
00:28:44She's growing and she's developing like any normal baby.
00:28:50Maybe you should get a second opinion.
00:28:52Connie, we've spoken.
00:28:54Why not?
00:28:54These doctors don't know everything.
00:28:57Maybe somebody's got some new techniques.
00:28:59Dad, there are no techniques for replacing a brain.
00:29:04Sorry.
00:29:04I just don't understand why this happened.
00:29:13You know why?
00:29:15Because life is hard.
00:29:18And sometimes it's cruel.
00:29:21And it's full of pain and horrible things just happen.
00:29:26And no matter how hard we try and understand it, we never will.
00:29:29Because they just happen.
00:29:32And there's nothing that we can do about it.
00:29:34It's full of pain.
00:29:35I'll see you next time.
00:29:39Bye.
00:29:43Bye.
00:29:47Bye.
00:29:47Bye.
00:29:47Bye.
00:29:54Bye.
00:29:54Bye.
00:29:55Bye.
00:29:57Bye.
00:29:58I
00:30:00I
00:30:27Can't make sense of it
00:30:30I can't make peace with it
00:30:33Maybe if I had the ultrasound for me, hey, that would have made any difference. You know that yes, you do you know that
00:30:42Honey we can't blame ourselves. It just makes everything worse
00:30:49Sometimes I wish I could stay pregnant forever just to keep
00:31:00You know maybe in a way we can keep her alive
00:31:20Maybe we could donate some of her organs, you know
00:31:29Give them to another baby who needs them
00:31:32You know maybe give some other child a chance to live
00:31:45Well, I mean, you know when when you think about it maybe in a way and part of her would still live
00:31:51I'm not ready for this conversation
00:31:57I
00:32:21Oh
00:32:31Please God help me
00:32:33Give me the strength to bear this
00:32:35Because I don't know what to do
00:32:37Help me to
00:32:39Help me to accept this without going crazy
00:32:45Please God help me
00:32:46Help me
00:32:47Shhhhhh
00:32:48Shhhhhh
00:32:49Shhhhhh
00:32:50Shhh
00:32:58Shhhhhh
00:33:00It's wonderful
00:33:09Shhhhhh
00:33:11What if I told you
00:33:13There was a chance to replace your babies heart with a healthy one
00:33:16on. You mean a heart transplant? Is that possible? To be honest, I'm not sure, but I know how upset
00:33:24you've been. So I started doing some research. There are three doctors in the world who experiment
00:33:28with newborn heart transplants. Now, one of them is Dr. Leonard Bailey, and he's in Loma Linda,
00:33:33California. But what do you mean experiment? Very new procedure, Gordon, and the jury's still out
00:33:39on how successful it is. Not only that, but all the other infants were diagnosed after they were
00:33:44born and then recommended for surgery, whereas in your case, the baby's been diagnosed in
00:33:49utero. If he's born healthy enough, and if they can find a donor heart that matches, they'll
00:33:57probably want to do the transplant as soon as the baby's delivered. And that's never been
00:34:02done before. What are his chances of surviving something like that? There's no way to tell.
00:34:09How big is a newborn baby's heart? About the size of a walnut. You're talking about something
00:34:19that big? Couldn't a lot of things go wrong? But if everything went right, we'd save his
00:34:24life. These babies that have had transplants, how many of them are still alive? I don't know.
00:34:32At least we could talk to the doctor, see what's involved. You'd have to fly down to Loma Linda.
00:34:39He'd want to examine you himself, of course. Could you set up an appointment for us?
00:34:43Alice, you do understand that this is a very long shot. I understand that today there's hope
00:34:48where yesterday there wasn't any. And I'm going to hang on to that until I know differently.
00:34:53We've been waiting and praying for a miracle. Maybe this is it. I want to talk to this man.
00:34:58I want to see if he can save our baby.
00:35:08Mr. and Mrs. Holmes. Yes. Hi. I'm Sherry Mathis, Senior Coordinator of the Transplant Program.
00:35:16Hi. Welcome to Loma Linda. Thank you. Hi. I didn't realize you had an entire complex here.
00:35:22Oh, yes. It's quite comprehensive. We have obstetricians, neonatologists, social workers,
00:35:26psychologists, specialty nurses, and, of course, our heart surgeons.
00:35:31When do we get to speak to Dr. Bailey? Your appointments for the day after tomorrow.
00:35:35First, I want to show you around the medical center and have you meet with the rest of the
00:35:38transplant team. Why don't we go over to my office and we'll go over your itinerary.
00:35:42Here at Loma Linda, we believe you should talk to everyone you can. This is a major decision
00:35:47and there's a lot of information to absorb before you can come to any decision.
00:35:51So, in other words, some people decide not to go through with this?
00:35:54Yes, and there are some patients that we feel would not be acceptable candidates.
00:35:59It's important for you to understand this is a highly stressful procedure, not just for
00:36:03the patient, but for the entire family. Not everyone is equipped to deal with it.
00:36:08It's just this way. Come on.
00:36:24Hi, I'm Dr. Ellen Kelly from the neonatology department.
00:36:28When your baby's born, we'll be the ones keeping him in shape to receive a heart as
00:36:31soon as one becomes available.
00:36:33Where do you get a heart?
00:36:34Well, we take blood samples from both parents for matching purposes and register it with
00:36:39the National Transplant Network.
00:36:41How do you know the right heart would be available when you need it?
00:36:45Unfortunately, we don't. Which means that death can occur while the baby is waiting for a
00:36:50heart. There's also risk during the operation itself and during the post-operative period.
00:36:59Where are we going?
00:37:01A little patient.
00:37:02Patience.
00:37:02You know.
00:37:03Okay?
00:37:04Okay.
00:37:04Come off.
00:37:06Enjoy the view.
00:37:09Oh, in the mode.
00:37:10Okay.
00:37:12Okay.
00:37:13We're here.
00:37:13Yeah.
00:37:14Okay.
00:37:25Where's a horse?
00:37:27We like her.
00:37:28She's, um, she's all yours.
00:37:37You bought me a horse?
00:37:39Yeah.
00:37:41Golden Palomino, just like you wanted.
00:37:46Her name's Avalon.
00:37:56I want our baby.
00:37:57I don't know what you're doing.
00:38:11So far, all of our babies have gone home from transplantation.
00:38:15Why don't you just sit here and be more comfortable?
00:38:19Of course, home is close by.
00:38:21All of our families are required to live in the area so we can do weekly follow-ups.
00:38:26What?
00:38:27Oh, yes.
00:38:29Now, we will not accept a patient for transplantation unless the family agrees to relocate to Loma Linda for at least a year.
00:38:36A year?
00:38:37Dr. Cicala, we live in Vancouver.
00:38:42My husband's business might never survive if we left for a year.
00:38:46I know it's an enormous commitment, Mrs. Hulk, but unless we are able to monitor the baby's progress after the transplant,
00:38:52I mean, there really is no point in putting him through all this.
00:38:58A year.
00:38:58A year.
00:38:59A year.
00:39:00A year.
00:39:01A year.
00:39:02A year.
00:39:02A year.
00:39:03A year.
00:39:03A year.
00:39:04A year.
00:39:04A year.
00:39:05A year.
00:39:05A year.
00:39:06A year.
00:39:07A year.
00:39:07A year.
00:39:08A year.
00:39:08A year.
00:39:09A year.
00:39:09A year.
00:39:10A year.
00:39:11A year.
00:39:11A year.
00:39:12A year.
00:39:12A year.
00:39:13A year.
00:39:13A year.
00:39:14A year.
00:39:14A year.
00:39:15A year.
00:39:15A year.
00:39:16A year.
00:39:16A year.
00:39:17A year.
00:39:17A year.
00:39:18A year.
00:39:18A year.
00:39:19A year.
00:39:19A year.
00:39:20A year.
00:39:20A year.
00:39:21A year.
00:39:21A year.
00:39:22A year.
00:39:22A year.
00:39:53Can we talk for a minute?
00:39:55Yeah, sure.
00:40:01If you really want to donate the baby's organs, I think we should do it.
00:40:07You're right.
00:40:08At least something good will come out of this.
00:40:12Are you sure?
00:40:14Yeah.
00:40:17Come here.
00:40:23Oh, I see.
00:40:35Well, can you recommend somebody else that we could talk to?
00:40:39Uh-huh.
00:40:41Okay, well, thanks anyway, Dr. Gallagher.
00:40:44Bye.
00:40:44What did he say?
00:40:51He said the baby probably won't live for more than a couple of minutes, and there won't be enough time to save the ordinance.
00:40:56What?
00:40:58Don't you remember? He told us she could live for up to a couple of days.
00:41:01Well, that's not what he's saying now.
00:41:03Maybe we should call somebody else.
00:41:05Yeah, like who?
00:41:07I don't know.
00:41:08Somebody at the hospital.
00:41:11Call the maternity ward.
00:41:13Yeah.
00:41:13Ask for a nurse.
00:41:15She might tell us who to contact.
00:41:16Well, yeah, this really doesn't make any sense, you know.
00:41:22I don't know how many times I've heard about babies desperately needing organs, and here we are, willing to contribute.
00:41:31I see.
00:41:33Okay, thank you.
00:41:35What?
00:41:36I don't know.
00:41:37I can't put my finger on it, but these doctors are reacting very strangely.
00:41:41They're almost hostile.
00:41:44Hostile?
00:41:45Why?
00:41:46Yeah, I don't know.
00:41:47But as soon as I mention the baby's got anencephaly, they just turn off.
00:41:52Maybe they know something we don't.
00:41:54Yeah, they must.
00:41:57Hello.
00:42:00Mr. and Mrs. Holt from Leonard Bailey.
00:42:02Sorry to keep you waiting.
00:42:04It's all right.
00:42:04It's nice to meet you, doctor.
00:42:05My wife and I are very anxious to find out everything we can about the heart transplant.
00:42:09You know, you have a rare and wonderful opportunity here.
00:42:12What do you mean?
00:42:14Well, usually a baby is born, and then we discover the heart problem.
00:42:17He's put in intensive care and massaged along until we come up with a donor, but sometimes it's too late because the baby's too sick.
00:42:24But in our case, our baby's been diagnosed before birth.
00:42:27Exactly.
00:42:27That gives us a full month to set everything up and line up a donor.
00:42:32Now, we can deliver the baby and immediately do the heart transplant.
00:42:35Now, I know what you're thinking.
00:42:35For two days, you've been hearing about the risks, side effects, the possibilities, complications.
00:42:44But the truth is that newborns, they often have less problems with surgery and tissue rejection than adults do.
00:42:51How many patients have you had?
00:42:53Seven so far.
00:42:57This is my oldest.
00:42:59He just had his third birthday.
00:43:00He's a charmer, isn't he?
00:43:08But you really don't know what the future holds for these children.
00:43:11I don't know what the future holds for any of us, Mr. Holt, do you?
00:43:15But whatever you decide, you have to both agree on it.
00:43:19This decision will affect the rest of your lives.
00:43:22And you'll need each other's support now more than ever.
00:43:30Oh, sweetheart, I missed you so much.
00:43:44How was the trip?
00:43:46Fine.
00:43:47How was everything here?
00:43:49We had a great time.
00:43:51Hey, kiddo.
00:43:52Gord's business meeting go well?
00:43:54It's too soon to tell.
00:43:56How did boy, huh?
00:43:57How did no one, huh?
00:43:58I had to read him an extra story, make-up.
00:44:09He's asleep now.
00:44:13Oh.
00:44:16You know, we have to talk.
00:44:21You want to go ahead with it?
00:44:23Yeah.
00:44:23I just keep hearing the facts.
00:44:29Two out of seven died?
00:44:32That means five lived.
00:44:35Never been tried on a newborn before.
00:44:38That's a chance.
00:44:42But to what end?
00:44:43I know that we can't predict the future, but even the oldest surviving patient is only three.
00:44:55How many years will our boy have?
00:44:57One?
00:45:00Three?
00:45:01Ten?
00:45:03And how will he live them?
00:45:06Sick?
00:45:08In pain?
00:45:09In and out of hospitals?
00:45:14Be on medication every single day of his life?
00:45:18Is that the quality of life that I want to offer my son?
00:45:30Could I look into his eyes and know that I had done right for him?
00:45:35You're about to think of the kind of life he's going to lead.
00:45:42I can't close my eyes thinking about it.
00:45:47Every time I think of him at three or ten or twenty...
00:45:51The joy of it is clouded by the vision that frightens me.
00:46:02I don't have a crystal ball, Gord.
00:46:07I can't see him tomorrow.
00:46:13But I can't see him today.
00:46:14He's alive.
00:46:19Inside of me.
00:46:22I can feel him kicking.
00:46:24I can feel him moving in my body.
00:46:30He's real to me now.
00:46:33This is my little boy.
00:46:38And every time I think of how his life is going to end...
00:46:41Before it even begins...
00:46:44It fills me with so much grief.
00:46:50But I know...
00:46:52That if we don't do this...
00:46:55If we don't take this chance...
00:46:57It's the only alternative left.
00:47:12For our baby.
00:47:14It's death.
00:47:18I know that.
00:47:22Still, I don't know what to think.
00:47:24I need a clear head, honey.
00:47:33I need a clear head.
00:48:00I need a clear head.
00:48:01Dr. Garland?
00:48:04Fred, Karen.
00:48:06Hi.
00:48:06Hi.
00:48:07Listen, we need to talk with you.
00:48:10Sure, sit down.
00:48:20We know there's something you're not telling us.
00:48:22Something no one's telling us.
00:48:24Why can't we donate the baby's organs?
00:48:26What's the problem?
00:48:28Fred, it's not a problem.
00:48:30It's just very controversial, that's all.
00:48:32Why?
00:48:34Well, because even though your baby may be legally brain dead,
00:48:38her heart is still beating and will be kept beating until the moment of the transplant.
00:48:42Now, there are some people who consider a body with a beating heart to be still alive.
00:48:47Why can't the baby die a natural death before you take the heart?
00:48:51That's just not how it's done.
00:48:52Look, you two, you have enough to grapple with without this.
00:49:00Let's just get through the birth and put this behind us.
00:49:04Start thinking about the next baby, okay?
00:49:06I mean, that's where you should be focusing your energy right now.
00:49:11On the future.
00:49:12Do you want a sip?
00:49:33What is it?
00:49:34Coffee.
00:49:35Coffee.
00:49:35No.
00:49:35Dr. Garland's right, you know.
00:49:48I couldn't let them take our baby's organs if her heart was still beating.
00:49:52It just wouldn't be right.
00:49:56I know.
00:49:57It makes me feel sad now.
00:50:02She's going to have lived and died.
00:50:10Barely a trace.
00:50:15Did I tell you I love you?
00:50:21Not today.
00:50:29I love you.
00:50:32There you go.
00:50:40One for you.
00:50:41One for you.
00:50:42What do you say?
00:50:45Slow down.
00:50:47Yeah.
00:50:47Come on.
00:50:58Ready?
00:50:59Here, here.
00:51:03One for you.
00:51:10Yeah.
00:51:11You know, if we go to California, you'll have to make all new friends.
00:51:21I know.
00:51:24You might either have to sell the business or commute back and forth,
00:51:28which would mean you'd be down there all alone.
00:51:32I know. It's complete upheaval.
00:51:34Completely changed our lives.
00:51:37Which leaves me with one last question.
00:51:42Which is, who am I to deprive this child of life?
00:51:49Even if it's only a chance, who am I to tell him he doesn't have that chance?
00:51:59We'll manage somehow.
00:52:03We'll take out a loan if we have to.
00:52:08Oh, God, I love you.
00:52:11I love you so much.
00:52:13It's just a year, right?
00:52:14I mean, what is a year and a whole lifetime?
00:52:16The baby in Mommy's tummy has something wrong with his heart.
00:52:33So he has to have an operation.
00:52:36What's an operation?
00:52:37Well, after the baby's born, they're going to take out his bad heart and put in a brand new healthy one.
00:52:50It's called a heart transplant, Jase.
00:52:55Does it hurt?
00:52:56No.
00:52:58The baby will be asleep. He won't feel anything.
00:53:00But he will be sick for a while afterwards.
00:53:04He'll have to stay in the hospital.
00:53:06And then when he comes home, we'll have to take extra special care of him.
00:53:10Can I still play with him?
00:53:11At the beginning, no.
00:53:15But after he gets better, of course.
00:53:19Do you understand everything we're telling you?
00:53:21Yeah.
00:53:25Any questions you want to ask us?
00:53:26Do I have to have a heart transplant, too?
00:53:32Oh, honey, no.
00:53:34No, of course not.
00:53:36You have a healthy heart.
00:53:38It's perfectly fine the way it is.
00:53:44Any R8 unit in the corner of Thursday?
00:53:46Please, please.
00:53:47Please, please.
00:53:47Please, please.
00:53:52All right.
00:53:52You're not going to believe this.
00:54:01Garland is on vacation.
00:54:03What?
00:54:04Who's going to deliver the baby?
00:54:05Dr. Kramer.
00:54:06The doctor on call is coming down now.
00:54:13If she's alive, Fred, I want to see her.
00:54:17No matter what, okay?
00:54:18Okay.
00:54:21Breathe.
00:54:22Breathe, breathe.
00:54:28You're doing great, Karen.
00:54:31Now, let's have another little push.
00:54:34Good, good.
00:54:36And one more.
00:54:37That's right.
00:54:38Big one.
00:54:39Good, Karen.
00:54:40Very good.
00:54:42Good.
00:54:43Big push, big push.
00:54:44Okay, big push.
00:54:45This is the big one.
00:54:51Here she comes.
00:54:52And here she is.
00:54:57Is she alive?
00:54:58Is the baby living?
00:55:00Yes, she's alive.
00:55:04Would you like to see her?
00:55:06Yeah.
00:55:07Yeah.
00:55:07Yeah, absolutely.
00:55:08Yeah.
00:55:09All right.
00:55:11Just a minute.
00:55:11Look, I'm still alive.
00:55:15Yeah.
00:55:16Yeah.
00:55:21Yeah.
00:55:22I'm done.
00:55:27Oh, God.
00:55:36Yeah.
00:55:37Mm-hmm.
00:55:38Fred, look at her.
00:55:45She's so beautiful.
00:55:48And the little mom's the angel.
00:55:52And the little girl.
00:55:56Fred, come on, you don't tell me.
00:56:02I'm gay, sweetheart.
00:56:03Why does she look so normal?
00:56:11Why does she have to look so normal?
00:56:16Why did you pay me?
00:56:17Why does she look so normal?
00:56:30Your name is Gabriel.
00:56:35For the angel that guards the gates of heaven.
00:57:08Dr. Kramer?
00:57:24Let's have a look.
00:57:32Hmm.
00:57:34Her color is changing and her pulse is starting to fade.
00:57:38We can bring her back to the nursery.
00:57:40No.
00:57:41No, we want to be with her to the end.
00:57:43As long as she's not in any pain.
00:57:44No, she's not in any pain.
00:57:49She looks so perfect.
00:57:51Well, in most ways she is.
00:57:56I don't know if this will make you uncomfortable, but...
00:58:00Have you thought of donating her organs?
00:58:03We contacted several doctors and hospitals.
00:58:06They all discouraged us.
00:58:07They said it was too controversial.
00:58:09That's not their decision to make.
00:58:11It's yours.
00:58:15Now, let me ask you something.
00:58:17There is still a chance to donate her organs.
00:58:20Do you want to?
00:58:21No, not if her baby won't die a natural death.
00:58:25But we couldn't take the organs unless she did.
00:58:28Excuse me?
00:58:31Your baby will die within minutes.
00:58:33We can't change that.
00:58:35Her heart will stop beating and she'll be gone.
00:58:37We can't revive her, but we can keep the organs functioning by mechanically maintaining her blood flow to them.
00:58:45Believe me, your baby is dying a natural death.
00:58:56I wanted life to mean something.
00:58:58I know.
00:59:00I know.
00:59:06We don't have much time.
00:59:18Yes.
00:59:19Hello?
00:59:40Hello?
00:59:41Alice, it's Sherry Mathis
00:59:44We have a donor
00:59:45Dr. Bailey wants you here by tomorrow morning
00:59:48But my baby's not due for another three weeks
00:59:51That can't be helped, Alice
00:59:52The heart is available now
00:59:54Throw some things in a suitcase and get down here
00:59:56Knock him down
00:59:59Oh, scared him
01:00:00That's a ball one
01:00:01That was the hospital
01:00:03They want us on the plane tonight
01:00:05Come on, Chase, let's go
01:00:08I think he's dropping
01:00:35Alright
01:00:36We're losing her
01:00:39Flat line
01:00:41Let's see the baby
01:00:41Do you mean to tell me there is not one flight to L.A. from Vancouver until tomorrow?
01:00:54Well, what are people supposed to do?
01:00:56My wife and I have got to get to Los Angeles
01:00:57What?
01:01:02Oh, this is unbelievable
01:01:03What?
01:01:04Not only are there no flights to L.A.
01:01:06There's a storm coming that might set down the airport
01:01:07What are we going to do?
01:01:09I don't know
01:01:10What about one of those air ambulance things?
01:01:17They fly everywhere, don't they?
01:01:19I don't know
01:01:20Well, let's find out
01:01:21Yeah, would you please page Dr. Franklin for me?
01:01:26This is Gordon Hulk and it's an emergency
01:01:28That tube, is that keeping her alive?
01:01:34Yeah, that, and the oxygen, the heat inside the incubator
01:01:37But she's not alive
01:01:40In the true sense of the word
01:01:41I mean, without this respirator
01:01:42She wouldn't be able to breathe on her own
01:01:43Where are you taking her?
01:01:47Karen
01:01:47If you're not comfortable with this decision
01:01:50No
01:01:50No
01:01:50Just tell me
01:01:52We're flying her to Loma Linda, California
01:01:59Hello?
01:02:15Dr. Franklin, did you have any luck?
01:02:18Oh, that's great
01:02:21Yeah, that's terrific
01:02:23Yeah, yeah, we'll be there
01:02:27Okay, thank you
01:02:29And God bless you
01:02:30He says it took a lot of arm twisting
01:02:32But he got government approval
01:02:33For an infant transport team
01:02:35To fly us down there
01:02:36The plane leaves at midnight
01:02:37Get the bag
01:02:38Are you going to hit the baby's new apartment?
01:02:43Yes, sweetheart
01:02:44And as soon as everything's okay
01:02:46We're going to send for you
01:02:46So you can see him
01:02:47Okay
01:02:48Where do they get the heart, Mom?
01:02:55From another baby
01:02:56Who doesn't need it anymore, honey?
01:02:57Okay, Gabriel
01:03:02Okay, Gabriel
01:03:16You have to say goodbye now
01:03:20I'm brave, girl, sweetheart
01:03:24You're the best, bravest girl in the world
01:03:28I love you so much
01:03:31We're so proud of you
01:03:33I'm sorry
01:03:34We have to go now
01:03:36We have to go now
01:03:36Goodbye, Rachel
01:03:40Oh, you're good, girl, you're a good boy
01:03:59You're a good boy, you're listening to Grandma
01:04:00Kid
01:04:01Are you sure you understand about the burglar, Lauren?
01:04:04Don't worry
01:04:04We'll be fine
01:04:05We better get going
01:04:07It's pouring out there
01:04:08We've got a long ride
01:04:09Bye-bye, kiddo
01:04:10You'll be good
01:04:11Bye-bye
01:04:12Just remember, Alice
01:04:14No matter what happens
01:04:16You did everything you could
01:04:17Thank you, Mom
01:04:19I love you
01:04:22I love you
01:04:24My kiss
01:04:25I love you
01:04:27I love you
01:04:44Come on
01:04:47No, it's just you and me again.
01:05:09Like in the beginning.
01:05:21Come on, come on!
01:05:28What time is it?
01:05:33It's, uh, 11.30.
01:05:36Please, God.
01:05:39Please, God, don't let him cancel his flight.
01:05:42Don't let him cancel his flight.
01:05:43Okay, here we go. Here we go.
01:06:01Okay, thanks.
01:06:01Okay, good.
01:06:06Keep it coming.
01:06:07That way, in the back corner.
01:06:09Sorry, folks.
01:06:11We're going to be stuck here for a while.
01:06:13There's a big storm on the west coast.
01:06:15Everything's delayed.
01:06:16How long do you think it'll be before we can take off?
01:06:18Every plane down there from New York to Denver is backed up.
01:06:21We're going to have to wait our turn.
01:06:27I see something.
01:06:27I see something up ahead.
01:06:28around the back.
01:06:50Oh, my God, just put your head in.
01:07:01All right.
01:07:02Mike Tango, Charlie Medivac, clear for tank-up on 06 left.
01:07:05Mike Tango, Charlie Medivac, rolling runway 06 left.
01:07:09We finally got the all clear.
01:07:10Fasten your seatbelts, please.
01:07:13About climb?
01:07:14It's been an hour and a half.
01:07:16Exactly how much oxygen do we have?
01:07:18It takes good for eight hours.
01:07:20How long is the flight to Los Angeles?
01:07:22It should take about five and a half hours.
01:07:24Five and a half hours.
01:07:29Frank, can you get a whole flight watch and then you can get a weather-of-day for something going with you?
01:07:34I want to fly on our guns, Julian Papa, to be able to latest weather on board to the L.A. base.
01:07:45Flight guard, you're on the U.D. and Papa, then the flight watch.
01:07:48Be advised, there's heavy fog reporting in the L.A. area.
01:07:53The air report with your response is in visibility at Ontario Airport.
01:08:00Reportage, one half mile in the block.
01:08:04We copy that, thank you.
01:08:05We'll see if Mike Tango is popping here.
01:08:09The weather doesn't look good.
01:08:10Looks like you're going to have to see that.
01:08:11It's okay.
01:08:13It's okay.
01:08:13Are you all right?
01:08:15No.
01:08:15Oh, come on.
01:08:16It's okay.
01:08:19Denver Center.
01:08:20This is lifeguard Mike Tango, Charlie.
01:08:22We have to redirect to Denver for fuel.
01:08:24Lifeguard Mike Tango, Charlie.
01:08:26What's the oxygen level?
01:08:29One eighth of the tank left.
01:08:34Wait, wait a minute.
01:08:35Are we descending?
01:08:38We can't be.
01:08:39We're not supposed to L.A. yet.
01:08:40No, we're descending.
01:08:43Excuse me.
01:08:44What's going on?
01:08:45Are we landing somewhere?
01:08:47Denver.
01:08:48These headwinds are killing us.
01:08:49We've got to refuel.
01:08:50That's impossible.
01:08:51With all these delays, we're running out of oxygen.
01:08:53The baby's not going to make it.
01:08:55I'm sorry, doctor.
01:08:56But unless we land, neither will we.
01:08:58Put us in touch with the hospital closest to the airport.
01:09:01Denver Tower.
01:09:02This is lifeguard Mike Tango.
01:09:03What are you monitoring at?
01:09:05What are you monitoring at?
01:09:08What are you monitoring at?
01:09:08What are you monitoring at?
01:09:10Yes, I gave you all of these.
01:09:16Denver Tower.
01:09:16This is Mike Tango, Charlie.
01:09:18Any word on that oxygen yet?
01:09:19Lifeguard Mike Tango, Charlie.
01:09:21Tell the doctors to hang in there.
01:09:22Oxygen is on the way.
01:09:23Roger.
01:09:24Right.
01:09:25See there.
01:09:27Unit 22.
01:09:28Unit 22.
01:09:29Traffic access.
01:09:30Mountain in Colorado.
01:09:31Wind on.
01:09:37Ground control.
01:09:38Lifeguard Mike Tango, Charlie.
01:09:40We are clear.
01:09:41That's it.
01:09:42No more oxygen.
01:09:43I need warm blankets, warm towels, anything to keep the baby's temperature from dropping.
01:09:47It's going to desaturate.
01:09:48That can't be helped.
01:09:49Loma Linda will have to deal with that when we get there.
01:09:50Please hurry.
01:09:56This won't work for long.
01:10:03Thank you very much.
01:10:04Keep it up.
01:10:10Blood pressure's dropping.
01:10:11Where the hell is that oxygen?
01:10:12Where the hell is that oxygen?
01:10:23Come on.
01:10:24We're losing her.
01:10:24We're going to get out of here.
01:10:32We're going to get out of here.
01:10:33We're going to get out of here.
01:10:37All right, folks.
01:10:50We're preparing to land.
01:10:51If you'd please make sure your seatbelts are fastened.
01:10:53We're going to be on an astronaut approach due to the fog at the airport.
01:10:59Tower, this is Charlie, Juliet, Papa.
01:11:01We're at the out of market.
01:11:03Roger.
01:11:03Lifeguard Charlie, Juliet, Papa.
01:11:05Runway one-half mile in fog.
01:11:07You're clear to land.
01:11:08Roger.
01:11:08One thousand to go.
01:11:34Four hundred a month.
01:11:38One hundred above.
01:11:41Three months.
01:11:43Contact.
01:11:44Runway 12 o'clock.
01:11:45I have a run.
01:11:58Happy landing, Spokes.
01:12:00We just heard that the donor babies arrived at Mama Linda.
01:12:08Well done.
01:12:09Lifeguard Charlie, Juliet, Papa.
01:12:11Take it left.
01:12:14Dick Schaefer, please call the operator.
01:12:16Dick Schaefer.
01:12:17All right, we'll call him later.
01:12:18Hmm?
01:12:30She's desaturated.
01:12:31She needs more oxygen.
01:12:34Bring that warmer over here.
01:12:35Alice, Gordon.
01:12:52A complication has come up with your donor during the flight.
01:12:55The heart's not contracting normally.
01:12:59But there's a good chance that with therapy over the next 24 hours,
01:13:02her condition may improve.
01:13:03All right.
01:13:04Thank you, sir.
01:13:04Thank you, gentlemen, very much everyone.
01:13:05Thank you, sir.
01:13:05V
01:13:13Thank you, guys.
01:13:21the baby responded to 40 cc's of saline and the heart returned to normal sinus rhythm
01:13:39well i would like to schedule surgery no later than this afternoon before any further complications
01:13:44occur uh before we proceed i'd like to reassess the baby's neurological functions why
01:13:51surely she was evaluated before they'd ever let her leave canada she was taken off the resuscitation
01:13:59three separate times every time she was pronounced dead i know leonard but there are people on my
01:14:05staff who are not comfortable with the use of anencephalic donors i'd like to be able to
01:14:10reassure them that this baby meets the strict legal criteria of total brain death to be honest i'm not
01:14:15that comfortable with it either why not well this baby is a minor who cannot consent to be a donor
01:14:22on her own who was still alive when first considered to be a donor and who now is being kept alive for
01:14:27the sole benefit of another baby joe this baby was born with no cerebral cortex and its brainstem no
01:14:33longer functions she has no spontaneous respiration no ocular reflex no gag reflex she feels nothing
01:14:41legally and clinically she's dead but ethically ethically we can take her off and resuscitate
01:14:46her and let her and the whole baby die or we can use her heart to keep another child alive
01:14:51the only choice we have is to lose one life or to lose two
01:14:55hello mrs shelton yes my name is sherry mathis and i'm the transplant coordinator of the loma linda
01:15:08university medical center in loma linda california mrs shelton your daughter is scheduled to become a
01:15:14heart donor to an infant down here and i know we have your written consent but we'd like to confirm
01:15:20that decision are you and your husband absolutely positive you want your daughter to be a donor
01:15:25it's loma linda they want to know if we're positive we want her to be a heart donor
01:15:29there's no question in our minds great thank you
01:15:34have you thought about it gordon
01:15:39our baby's heart belonging to somebody else's child
01:15:47a lot
01:15:51that mother must be a very special woman
01:15:57alice
01:16:02it's time to deliver your son
01:16:06this is it
01:16:11there we go mrs holt
01:16:17yeah
01:16:20okay alice
01:16:29the transplant team is set up in the operating room next door
01:16:32we're going to deliver the baby dr kelly will examine him and then dr bailey will give him a new heart
01:16:38okay
01:16:38now i know that this has been a difficult time for both of you
01:16:42it's
01:16:43a time in my experience when it's helpful to draw on all the support that you can find
01:16:48now if you would like to have a prayer before we begin we would be happy to do that
01:16:52now we often do that here at loma linda it isn't necessary
01:16:55only if you feel comfortable
01:16:57yes we'd like that very much
01:16:59dear lord
01:17:05we've got alice here who is really concerned about her baby
01:17:09we do not know what the outcome will be
01:17:11we ask you to be with her
01:17:14and to give her the peace and the strength to get through this
01:17:17and to be with me and the operating team so that we may operate effectively and efficiently
01:17:22may your will be done
01:17:25i'm in
01:17:26okay let's do it
01:17:30heart rate is steady at 82 feet per minute
01:17:36i've got a bleeder here i need to tie off
01:17:38here you go
01:17:39clamp please
01:17:41it's fine
01:17:44your heart rate's fully steady
01:17:47you're doing great
01:17:48all right
01:17:49if you're okay just relax
01:17:50pressure normal
01:17:51good
01:17:53here we go
01:17:56respiration 16
01:17:59we've got a baby
01:18:02thank you steven
01:18:10karen
01:18:10he looks great
01:18:13i look at you
01:18:19i look at you
01:18:23i look at you
01:18:24Yes, take him, take him, Ellen, he stopped breathing, okay, quick, bag and mask, I need
01:18:42a 3500 tracheal tube, start an IV, I want to cross the gland and drip, Sally, hook up
01:18:47the EKP monitor, you're ready for this, all right, look forward, it's time to move
01:18:52the baby went into heart failure, but we stabilized him in time, Dr.
01:19:22Bailey is performing the transplant now, thank you, are we getting proper flow, yes,
01:19:34a scalpel, suction please, monitor on, here you go, thank you, so how long does everything
01:19:57take, well, best scenario, two and a half hours, can you tell us anything about the donors,
01:20:05we can't give out that information, please, it's very important to me, was it a girl or
01:20:10a boy, it was a girl, did she have a name, Alice, please, just a first name, Gabriel,
01:20:22Gabriel, if our son survives this, I'd like to have their name and their address, please,
01:20:35Alice, that's impossible, but couldn't you at least check with them, these people are giving
01:20:42our son life, we can't pretend they don't exist, clamp, clamp, pressure is fine, work two
01:20:58hours, 35 minutes, okay, now I'm going to remove the aortic clamp, come on, come on now, come
01:21:23up, hello, hi, Connie, okay, yeah, okay, yeah, we'll call you right back, here, get up, get up,
01:21:40what, channel three, channel three, the news, a local Linda University Medical Center in
01:21:49California, the youngest patient in medical history received a heart transplant in a two
01:21:54and a half hour surgery, baby Paul, delivered by cesarean section in order to undergo the procedure,
01:22:01was only three hours old, when Dr. Leonard Bailey, using an anencephalic donor, successfully
01:22:07replaced his defective heart, what a remarkable story, over to you now, Dave, I'll get it,
01:22:14I'll get it, I'll get it, Katie, and it was a big day today,
01:22:17good evening, Mrs. Shelton, yeah, here you go, thank you,
01:22:29flowers from who, I don't know, there is nothing more pure and beautiful than the heart of a child,
01:22:54thank you for your great gift to our son, may God bless you, Alison Gordon-Hulk,
01:23:03dear Karen, I've thought about you many times and have often wanted to write,
01:23:19but what do you say to a woman who first loses her baby and then her husband from a heart attack,
01:23:40when I heard about Fred, I was so sorry, I started so many letters to you, but I knew that nothing
01:23:47I could say could possibly mean anything, and maybe I even felt guilty about my own good fortune
01:23:53while you were experiencing so much pain, even so, the past five years have not been easy for us,
01:24:01after we returned from California, Paul's health and medical care continued to dominate our lives,
01:24:06this year, for the first time, he's finally in good shape, and that's why we want you to be our guest
01:24:12in Vancouver, to help us celebrate the fifth birthday of someone who is as much a part of you
01:24:17as he is of us, I would love to meet you, Karen, but more important, I would love Paul to meet you,
01:24:26he knows that it took two of us to give him life, and that because of you, he will celebrate this
01:24:34birthday and many birthdays to come, please visit us and share our happiness, sincerely, Alice Hulk.
01:25:04Karen?
01:25:22Karen?
01:25:25Alice?
01:25:30I'm so glad you could come.
01:25:34Me too.
01:25:40Please come in.
01:25:42Gordon!
01:25:48Aaron, this is my husband Gordon.
01:25:50Hi.
01:25:52Hi.
01:25:54It's nice to meet you.
01:25:56Me too.
01:25:58Take a seat.
01:26:00This is my older son Jason.
01:26:06Hello.
01:26:08Paul!
01:26:10Paul! There's somebody here I'd like you to meet.
01:26:14This is the very special lady I told you about.
01:26:18Karen, this is Paul Gabriel Bailey Hulk.
01:26:30Bye Paul.
01:26:32Bye.
01:26:38Bye!
01:26:40Bye!
01:26:44Bye!
01:26:46Bye!
01:26:50Bye!
01:26:52Bye!

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