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I mean, you always hear about people's families and you don't | 0:00:02 | 0:00:04 | |
really think about it until it comes to your own door. | 0:00:04 | 0:00:06 | |
To have been told that you could survive and get new life | 0:00:06 | 0:00:11 | |
from a new kidney was the only hope I was living on. | 0:00:11 | 0:00:14 | |
Truly, our donors are our heroes. | 0:00:14 | 0:00:16 | |
They put themselves on the line for the love of another human being. | 0:00:16 | 0:00:21 | |
Just got a call from ICU. Told us that they might have a body. | 0:00:21 | 0:00:25 | |
It's hard, you know, moving a child or baby. | 0:00:25 | 0:00:28 | |
They haven't really lived a life. | 0:00:29 | 0:00:31 | |
So, this gentleman's coming with a wound to the back of his head | 0:00:31 | 0:00:34 | |
and a sore-looking eye but we don't know why. | 0:00:34 | 0:00:37 | |
He doesn't speak any English at all. | 0:00:37 | 0:00:39 | |
The first two nights, I cried myself to sleep. | 0:00:39 | 0:00:41 | |
My husband was murdered during the Troubles, | 0:00:41 | 0:00:44 | |
so I've sort of never got over that, like. | 0:00:44 | 0:00:47 | |
There are times when I would go away and I would weep, | 0:00:47 | 0:00:50 | |
because, yeah, some of the things are very difficult. | 0:00:50 | 0:00:54 | |
We've spent a year looking under the skin of the health service, | 0:01:07 | 0:01:10 | |
focusing on the large team of people | 0:01:10 | 0:01:12 | |
who dedicate their lives to saving ours. | 0:01:12 | 0:01:15 | |
Around 1,700 people in Northern Ireland | 0:01:16 | 0:01:19 | |
are living with end-stage renal failure. | 0:01:19 | 0:01:21 | |
800 patients are on dialysis. | 0:01:21 | 0:01:24 | |
Last year, the Belfast team performed | 0:01:26 | 0:01:28 | |
a record-breaking 115 kidney transplants. | 0:01:28 | 0:01:32 | |
We're now number one in the world | 0:01:34 | 0:01:36 | |
and this makes the whole unit feel immensely proud. | 0:01:36 | 0:01:40 | |
I'm William Spiers. | 0:01:42 | 0:01:44 | |
I'm from Killyleagh. | 0:01:44 | 0:01:46 | |
I discovered that I took a cyst in my belly button. | 0:01:46 | 0:01:47 | |
The doctors rang me to say they'd found something in my blood. | 0:01:47 | 0:01:51 | |
They discovered that my kidney function was only working at 15%. | 0:01:51 | 0:01:55 | |
So whenever they scanned my kidneys, they could hardly see them at first, | 0:01:55 | 0:02:00 | |
because they were that small and they'd shrivelled up. | 0:02:00 | 0:02:04 | |
It's difficult for me to convey how dangerous kidney failure is. | 0:02:06 | 0:02:10 | |
Your life expectancy is halved. | 0:02:10 | 0:02:13 | |
It's got a worse survival than most cancers. | 0:02:13 | 0:02:19 | |
My brother Jonny here is going to give me his kidney on Wednesday, | 0:02:19 | 0:02:23 | |
so if all goes well, it'll be life-changing for me. | 0:02:23 | 0:02:27 | |
Even a blood test, I would get worried about going to the hospital | 0:02:27 | 0:02:30 | |
for that and that's only a simple thing, | 0:02:30 | 0:02:33 | |
so, nervous but still excited at the same time. | 0:02:33 | 0:02:37 | |
Hopefully it'll not be too bad for me. | 0:02:37 | 0:02:39 | |
It'll be nothing compared to what my brother has to go through anyway. | 0:02:39 | 0:02:44 | |
So, anybody in the same situation would do it, so they would. | 0:02:44 | 0:02:48 | |
No, but he's very brave, too. | 0:02:49 | 0:02:51 | |
He's a hard nut, like. | 0:02:51 | 0:02:53 | |
You always hear of it in other people's families | 0:02:59 | 0:03:02 | |
and you don't really think about it until it comes to your own door. | 0:03:02 | 0:03:06 | |
When it does, it definitely hits you, like, so it does. | 0:03:07 | 0:03:11 | |
It hits everybody. | 0:03:11 | 0:03:12 | |
Dialysis can only work for so long, for some people, | 0:03:14 | 0:03:17 | |
and, you know, whenever I was told all this, it didn't really... | 0:03:17 | 0:03:22 | |
You know, it was really hard to take in. | 0:03:22 | 0:03:24 | |
It does make you a wee bit emotional, | 0:03:26 | 0:03:28 | |
so it does. | 0:03:28 | 0:03:30 | |
You know, to have been told that you could survive and | 0:03:31 | 0:03:35 | |
get new life from a new kidney was the only hope I was living on. | 0:03:35 | 0:03:40 | |
It was just the relief that he got a kidney, | 0:03:40 | 0:03:43 | |
so it was. It just happened to be mine. | 0:03:43 | 0:03:48 | |
I'd have been happy if it had have been my sister or my brother's | 0:03:48 | 0:03:52 | |
but it just turned out that mine was the best match available. | 0:03:52 | 0:03:56 | |
At the Royal Belfast Hospital For Sick Children, | 0:04:02 | 0:04:05 | |
paediatric neurodisability consultant Claire Lundy | 0:04:05 | 0:04:08 | |
and occupational therapist Julia Maskeray | 0:04:08 | 0:04:11 | |
have an appointment with three-year-old Aoife. | 0:04:11 | 0:04:14 | |
Aoife's case would be fairly typical of a child presenting | 0:04:14 | 0:04:17 | |
with hemiplegia which have resulted in a problem | 0:04:17 | 0:04:20 | |
with moving the right arm. | 0:04:20 | 0:04:22 | |
I know. | 0:04:22 | 0:04:24 | |
We need our marbles. | 0:04:24 | 0:04:26 | |
We need to open our bottle | 0:04:26 | 0:04:29 | |
and pour them into our saucepan to make our soup. | 0:04:29 | 0:04:34 | |
You do it. Aoife do it. | 0:04:34 | 0:04:37 | |
Good girl. So, holding. | 0:04:37 | 0:04:39 | |
One hand to hold. | 0:04:39 | 0:04:41 | |
Yes. | 0:04:41 | 0:04:43 | |
Clever, clever girl. | 0:04:43 | 0:04:45 | |
Today, Julia will focus on Aoife's right hand. | 0:04:45 | 0:04:48 | |
Oh, Mummy, wait till you see. | 0:04:48 | 0:04:50 | |
The assessment is play based but it really does assess how effectively | 0:04:50 | 0:04:56 | |
a child uses their two hands through play. | 0:04:56 | 0:04:58 | |
What about this hand? | 0:04:58 | 0:04:59 | |
Can you put a bracelet on this hand? | 0:04:59 | 0:05:01 | |
One, two. Or will we tidy up? | 0:05:02 | 0:05:04 | |
What do you think? Do you want it on? | 0:05:04 | 0:05:07 | |
Oh, lovely. | 0:05:07 | 0:05:09 | |
Gorgeous. | 0:05:09 | 0:05:11 | |
They are actually trying to elicit certain behaviours with the upper | 0:05:11 | 0:05:15 | |
limb and it can be to see whether they can actually grasp | 0:05:15 | 0:05:19 | |
and stabilise an object, so it does look like I'm playing but we | 0:05:19 | 0:05:22 | |
are actually looking to see is what it is that's | 0:05:22 | 0:05:25 | |
limiting that child's function. | 0:05:25 | 0:05:26 | |
Aoife did really well there, didn't she? | 0:05:26 | 0:05:29 | |
-She did, didn't she? -You're a wee star, aren't you? | 0:05:29 | 0:05:31 | |
One of the things that we noticed is | 0:05:31 | 0:05:32 | |
that her grip is limited by her thumb being stuck across the hand. | 0:05:32 | 0:05:37 | |
One of the treatments that can be very helpful is using botulinum toxin, | 0:05:37 | 0:05:41 | |
a day case procedure up in Musgrave Park. | 0:05:41 | 0:05:44 | |
And the aim of the botulinum treatment is to improve her grip | 0:05:44 | 0:05:48 | |
and hopefully the functional use of her right hand. | 0:05:48 | 0:05:53 | |
The botulinum toxin gives us a window of opportunity but what | 0:05:53 | 0:05:56 | |
actually has to come is a lot of activity. | 0:05:56 | 0:05:58 | |
It is the activity that creates the change. | 0:05:58 | 0:06:01 | |
-Good girl. Well done. -Super-duper. -Smart lady. | 0:06:01 | 0:06:06 | |
In Craigavon, hospital porter Paul Anderson starts his shift. | 0:06:09 | 0:06:13 | |
Porters. | 0:06:13 | 0:06:14 | |
A typical day of our porter is transfers from ward to ward. | 0:06:17 | 0:06:21 | |
Blood units. They bring all the linen up to the wards. | 0:06:21 | 0:06:23 | |
Then there's security too. | 0:06:23 | 0:06:25 | |
If any people's kicking off, or anything, we just go up | 0:06:25 | 0:06:27 | |
and try to calm them down and put them back to bed. | 0:06:27 | 0:06:30 | |
Usually on the weekends, it'll all kick-off. | 0:06:30 | 0:06:32 | |
Giving abuse out all the time to nurses, so they phone us. | 0:06:32 | 0:06:35 | |
Sometimes we see it on the camera before the nurse even says. | 0:06:35 | 0:06:37 | |
You can even tell who's coming to the door, | 0:06:37 | 0:06:39 | |
who's going to kick off, the state of them. They're drunk. | 0:06:39 | 0:06:42 | |
Part of Paul's job is looking after the car park. | 0:06:45 | 0:06:48 | |
I'm just out here studying cars, | 0:06:50 | 0:06:53 | |
cars that are not supposed to be parked here. | 0:06:53 | 0:06:55 | |
It's not right on disabled people. We have to go out and put these | 0:06:55 | 0:06:58 | |
stickers on them just to warn them to not park there again. | 0:06:58 | 0:07:00 | |
I had to sticker a man's car there, so I did. | 0:07:08 | 0:07:10 | |
It was in a disabled spot, so I had to put a sticker on it. | 0:07:10 | 0:07:13 | |
They're a bit hard to get off, so they are, so I don't like doing it, | 0:07:13 | 0:07:15 | |
like, but it has to be done. | 0:07:15 | 0:07:17 | |
Maybe it'll give him a hint not to park there again. | 0:07:19 | 0:07:22 | |
The day has finally arrived for Jonathan | 0:07:32 | 0:07:35 | |
to donate his kidney to his brother William. | 0:07:35 | 0:07:37 | |
There's nothing routine about living donor surgery. | 0:07:37 | 0:07:40 | |
The stakes are so high in terms of outcomes. | 0:07:40 | 0:07:43 | |
When these things go well, it's fantastic, but | 0:07:43 | 0:07:47 | |
when things go wrong, you really feel it. | 0:07:47 | 0:07:51 | |
Reality is just kicking in for William and his girlfriend Joanna. | 0:07:52 | 0:07:56 | |
There's no turning back now, so there's not. | 0:07:56 | 0:07:59 | |
The nerves is kicking in... | 0:07:59 | 0:08:01 | |
..but, sure, it has to be done. | 0:08:02 | 0:08:04 | |
Yeah, I'm really excited that he's finally getting a kidney. | 0:08:04 | 0:08:08 | |
Like, people don't really realise how much it changes your life being | 0:08:08 | 0:08:12 | |
on dialysis. I feel like I'm going to cry now talking about it... | 0:08:12 | 0:08:17 | |
It's been a tough year, like, for us. | 0:08:17 | 0:08:21 | |
So it has. | 0:08:21 | 0:08:22 | |
Very nervous. I'll be happy when it's over and he's back up here. | 0:08:28 | 0:08:32 | |
The Spiers family have had their fair share of heartache this year. | 0:08:34 | 0:08:38 | |
We're a very close family, like, | 0:08:40 | 0:08:42 | |
especially this year has brought us all together, real close. | 0:08:42 | 0:08:45 | |
It'll be strange now whenever I get home, so it will, | 0:08:48 | 0:08:50 | |
because I have two kids at home. | 0:08:50 | 0:08:52 | |
They're staying with their granny, so they're all excited about that. | 0:08:52 | 0:08:55 | |
I had three kids but one of them unfortunately passed away last year. | 0:08:55 | 0:09:00 | |
Kayla passed away at the end of August. | 0:09:02 | 0:09:05 | |
She lived for four days and... | 0:09:05 | 0:09:08 | |
It just wasn't meant to be. | 0:09:10 | 0:09:12 | |
Truly, our donors are our heroes, they really are. | 0:09:15 | 0:09:19 | |
They put themselves on the line for the love of another human being. | 0:09:19 | 0:09:23 | |
Whether it's their brother, whether it's their sister, mother, father, | 0:09:26 | 0:09:28 | |
they've put themselves at risk | 0:09:28 | 0:09:32 | |
and the risks are significant. | 0:09:32 | 0:09:34 | |
Right, then. | 0:09:37 | 0:09:39 | |
It's definitely a good thing he's doing, like. | 0:09:43 | 0:09:46 | |
I'll see you later on. Right, Vanessa. | 0:09:48 | 0:09:52 | |
At the A&E in the Royal, | 0:10:03 | 0:10:05 | |
triage nurse Jane Wilson has an interesting day ahead. | 0:10:05 | 0:10:08 | |
So, this gentleman's come in with a wound to the back of his head and a | 0:10:13 | 0:10:17 | |
sore-looking eye but we don't know why. | 0:10:17 | 0:10:20 | |
He doesn't speak any English at all. Could you interpret for me, please? | 0:10:20 | 0:10:22 | |
Could you ask this gentleman what's brought him up to A&E? | 0:10:22 | 0:10:26 | |
All right. | 0:10:27 | 0:10:29 | |
IN OWN LANGUAGE: | 0:10:29 | 0:10:30 | |
Thank you. | 0:10:54 | 0:10:56 | |
A fall? When did that happen? | 0:10:56 | 0:10:58 | |
Did he tell you anything about the fall? | 0:10:58 | 0:11:00 | |
It's really, really important that I know, was he knocked out or not? | 0:11:00 | 0:11:04 | |
I need you to ask him, did he get knocked out? | 0:11:04 | 0:11:06 | |
Was he unconscious? | 0:11:06 | 0:11:09 | |
I need that answer. And I also need to know why is he on warfarin? | 0:11:09 | 0:11:13 | |
Here you go. | 0:11:13 | 0:11:16 | |
-Mr Lin produces a hospital letter. -Thank you. | 0:11:16 | 0:11:19 | |
I think, roughly, he fell this morning and he doesn't know why. | 0:11:21 | 0:11:26 | |
So, he just woke up on the floor so we'll have to just treat it like it | 0:11:26 | 0:11:29 | |
was some sort of heart collapse or something severe and work back. | 0:11:29 | 0:11:33 | |
After consulting with the interpreting service, | 0:11:37 | 0:11:39 | |
it appears that Mr Lin lost consciousness | 0:11:39 | 0:11:42 | |
whilst sitting on the toilet. | 0:11:42 | 0:11:43 | |
Apparently he fell, resulting in a head injury. | 0:11:43 | 0:11:46 | |
Further tests are now needed to rule out anything more sinister | 0:11:46 | 0:11:50 | |
than just a cut to his head. | 0:11:50 | 0:11:52 | |
In Belfast City Hospital, | 0:12:00 | 0:12:03 | |
Mr Tim Brown and his team prepare donor Jonathan for his surgery. | 0:12:03 | 0:12:06 | |
All William can do now is wait. | 0:12:08 | 0:12:10 | |
Mr Brown will perform keyhole surgery to remove Jonathan's kidney. | 0:12:14 | 0:12:18 | |
He begins by making two incisions in Jonathan's side and inserting a | 0:12:20 | 0:12:25 | |
camera to help him navigate his way through | 0:12:25 | 0:12:27 | |
the vital organs to reach the kidney. | 0:12:27 | 0:12:30 | |
So, we just put some gas into the tummy to make sure that we can see | 0:12:30 | 0:12:34 | |
what's what, so that it gives us some room to operate. | 0:12:34 | 0:12:37 | |
And that's hopefully what we'll be able to use to take this kidney out, | 0:12:37 | 0:12:41 | |
so, what we've got to do is move a few things out of the way | 0:12:41 | 0:12:44 | |
to get to the kidney. We've got the colon here | 0:12:44 | 0:12:46 | |
which we're going to have to move out of the way. | 0:12:46 | 0:12:48 | |
It's got natural adhesions to the tummy wall, | 0:12:49 | 0:12:53 | |
which we'll have to take down first of all. | 0:12:53 | 0:12:55 | |
I'm using an instrument that cuts with ultrasound, | 0:12:55 | 0:12:59 | |
so what it does, it cuts and seals any blood vessels, | 0:12:59 | 0:13:05 | |
because it's nice not to operate with any blood around. | 0:13:05 | 0:13:09 | |
After two and a half hours, Jonathan's kidney is removed. | 0:13:10 | 0:13:14 | |
We're going to disconnect the kidney from the blood supply. | 0:13:14 | 0:13:18 | |
Just come back. | 0:13:18 | 0:13:20 | |
So, this bit is the time-crucial bit. | 0:13:21 | 0:13:24 | |
We want to try to minimise the time at all because when the kidney | 0:13:24 | 0:13:27 | |
is warm and not getting a blood supply, | 0:13:27 | 0:13:30 | |
then that's when the damage to the tissue is done. | 0:13:30 | 0:13:32 | |
A larger cavity is needed to retrieve the kidney. | 0:13:34 | 0:13:37 | |
So the problem is we've made a hole in the lining of the tummy in order | 0:13:39 | 0:13:44 | |
to get the bag in but we need to still keep operating with | 0:13:44 | 0:13:48 | |
the gas inside the tummy, | 0:13:48 | 0:13:50 | |
so this is what this elaborate sort of situation is about now. | 0:13:50 | 0:13:55 | |
Gas on, please. | 0:13:55 | 0:13:56 | |
Jonathan's kidney is now ready for retrieval. | 0:13:58 | 0:14:02 | |
And then what we do is we put the kidney in the bag. | 0:14:04 | 0:14:08 | |
There we go. Scoop it up. | 0:14:11 | 0:14:12 | |
Lovely. Lovely. | 0:14:13 | 0:14:16 | |
OK. Top lights on, please. | 0:14:17 | 0:14:20 | |
Very good. And that goes over to get nice perfusion. | 0:14:22 | 0:14:26 | |
When the kidney comes out, | 0:14:28 | 0:14:29 | |
we need to make sure that all the blood vessels are suitable for | 0:14:29 | 0:14:35 | |
transplantation, so there's a bit of tidying up on the back bench when | 0:14:35 | 0:14:39 | |
the blood is flushed out of the kidney | 0:14:39 | 0:14:41 | |
and it's cooled down to stop the metabolism of the kidney | 0:14:41 | 0:14:44 | |
in order to preserve it while it's not being perfused with blood. | 0:14:44 | 0:14:50 | |
So, it looks like a nice kidney. Very pleased with that. | 0:14:50 | 0:14:53 | |
Just give it a bit of a tidy up. | 0:14:53 | 0:14:55 | |
Make it look pretty. Very, very pleased with that. | 0:14:58 | 0:15:01 | |
In Craigavon, porters Paul and Raymond are on the night shift. | 0:15:13 | 0:15:17 | |
Tonight, they face one of the tougher parts of the job. | 0:15:17 | 0:15:20 | |
Dealing with death is a big part of hospital life. | 0:15:20 | 0:15:24 | |
You soon get used to it, like, it's just part of the job. | 0:15:25 | 0:15:28 | |
You don't even think about it after a while. | 0:15:28 | 0:15:30 | |
Sometimes three or four a day, so... | 0:15:30 | 0:15:32 | |
So it's a right few over the year, like. | 0:15:32 | 0:15:35 | |
When I first started, | 0:15:40 | 0:15:42 | |
if I had to move the body, it was tight enough. | 0:15:42 | 0:15:44 | |
I didn't really like doing them. | 0:15:44 | 0:15:46 | |
It's hard. Especially, I've got a child and all, so it's hard, | 0:15:50 | 0:15:54 | |
you know, moving a child or a baby or anybody under a certain age. | 0:15:54 | 0:15:57 | |
I've a child myself, like, so I don't really like doing them. | 0:15:57 | 0:16:00 | |
Like Raymond was saying, young ones are hard to do, | 0:16:00 | 0:16:02 | |
but you soon get used to it. It's part of the job. | 0:16:02 | 0:16:05 | |
You don't even think about it after a while. | 0:16:11 | 0:16:14 | |
You just get on with it and that's it, really. | 0:16:14 | 0:16:17 | |
Jonathan's surgery is over and he's taken to recovery. | 0:16:33 | 0:16:37 | |
Are you feeling all right? | 0:16:39 | 0:16:42 | |
Just tired. A wee bit of pain but nothing... | 0:16:42 | 0:16:45 | |
I've felt worse, like. | 0:16:46 | 0:16:48 | |
That was a very long day, waiting for him. | 0:16:49 | 0:16:54 | |
It's now William's turn for surgery. | 0:16:57 | 0:17:01 | |
So this morning's operation was keyhole. | 0:17:01 | 0:17:03 | |
This is definitely not a keyhole operation. | 0:17:03 | 0:17:06 | |
This'll be what we call an open operation. | 0:17:06 | 0:17:09 | |
Mr Brown begins by opening an area of tissue | 0:17:09 | 0:17:12 | |
just above William's groin. | 0:17:12 | 0:17:14 | |
The new kidney is placed in this area | 0:17:21 | 0:17:24 | |
and connected to the main artery in William's leg. | 0:17:24 | 0:17:26 | |
-So can you see in the screen yet? -Yes? | 0:17:26 | 0:17:29 | |
Yeah, so that's the blood supply to the leg. | 0:17:29 | 0:17:31 | |
That's the external iliac artery. | 0:17:31 | 0:17:33 | |
So what we've got to do is prepare these vessels to accept the kidney, | 0:17:33 | 0:17:37 | |
so that means getting rid of some of the tissue surrounding them. | 0:17:37 | 0:17:42 | |
Yeah, this way. | 0:17:42 | 0:17:43 | |
Right, so now we've got the kidney | 0:17:46 | 0:17:48 | |
that Jonathan so kindly donated this morning. | 0:17:48 | 0:17:51 | |
So we got the ureter, we've got the artery here sitting behind them. | 0:17:51 | 0:17:57 | |
So what we've got to do is join, put the ureter onto the bladder. | 0:17:57 | 0:18:01 | |
OK, so what we want to do now, see how he wants to sit. | 0:18:01 | 0:18:04 | |
That looks like he wants to sit there very nicely. | 0:18:04 | 0:18:06 | |
In order to get the kidney connected, | 0:18:06 | 0:18:08 | |
we need to make a hole in the vein | 0:18:08 | 0:18:10 | |
and to do that, we need to get control of it, | 0:18:10 | 0:18:13 | |
so we've closed off the vein on one side and to the other. | 0:18:13 | 0:18:16 | |
Can I get a knife, please? Thank you. | 0:18:16 | 0:18:18 | |
So now we're going to make a hole in this vein and hope that | 0:18:18 | 0:18:21 | |
the instrument has connected it properly, which it hasn't. | 0:18:21 | 0:18:25 | |
Suddenly, the clamp fails but within seconds, | 0:18:25 | 0:18:28 | |
he has the bleed under control. | 0:18:28 | 0:18:31 | |
The team can now transplant Jonathan's kidney into William. | 0:18:31 | 0:18:35 | |
The moment of truth is when the grey kidney plumps up and turns pink. | 0:18:35 | 0:18:39 | |
So you can see, it's all white, so what we're going to do | 0:18:39 | 0:18:41 | |
is let the artery in and that'll go pink, | 0:18:41 | 0:18:43 | |
hopefully, and swell up. | 0:18:43 | 0:18:45 | |
That's exactly what we want to see. | 0:18:45 | 0:18:47 | |
and then let the vein in and that's the kidney back to life again. | 0:18:47 | 0:18:51 | |
So what we're looking for now is the ureter. | 0:18:51 | 0:18:53 | |
I want to see clear liquid coming out of here, so we'll see... | 0:18:53 | 0:18:55 | |
Oh, and there we go. So the kidney's started to pass water already, | 0:18:55 | 0:18:59 | |
so that's really good. | 0:18:59 | 0:19:00 | |
The transplant is almost complete. | 0:19:02 | 0:19:04 | |
So you can see the artery joined there | 0:19:04 | 0:19:06 | |
onto to the external iliac artery, | 0:19:06 | 0:19:08 | |
a nice pulse and the vein in front of him here | 0:19:08 | 0:19:11 | |
just going on the iliac vein in front of it. | 0:19:11 | 0:19:13 | |
A nice pink kidney and then the ureter's | 0:19:13 | 0:19:16 | |
going in there into the bladder there. | 0:19:16 | 0:19:19 | |
It's nice. | 0:19:19 | 0:19:20 | |
Very pleased. | 0:19:20 | 0:19:22 | |
It's been two days since William received Jonathan's kidney. | 0:19:27 | 0:19:30 | |
He's waiting for his creatinine test results | 0:19:30 | 0:19:33 | |
to see how well it's performing. | 0:19:33 | 0:19:35 | |
-Well, William, how's it going? -All right? Not too bad, thanks. | 0:19:35 | 0:19:38 | |
-Good. Feeling OK? -Yes, feeling brilliant. | 0:19:38 | 0:19:40 | |
Wonderful, wonderful. | 0:19:40 | 0:19:42 | |
The numbers have come way down so, before we started, | 0:19:42 | 0:19:46 | |
-your creatinine was over 600... -Yes. | 0:19:46 | 0:19:48 | |
..and today it's 200, so... | 0:19:48 | 0:19:50 | |
-That's very good. -Over 48 hours, that's superb. | 0:19:50 | 0:19:52 | |
So, great. Yeah, you look fantastic. I'm delighted, really delighted. | 0:19:52 | 0:19:55 | |
-Thanks so much. -OK, all right, see you later. -Thank you. -OK. | 0:19:55 | 0:19:58 | |
A significant decrease in creatinine levels indicates | 0:19:58 | 0:20:02 | |
that the new kidney is functioning as normal. | 0:20:02 | 0:20:04 | |
-Good, all right, so you're feeling OK, not too sore? -Not too bad. | 0:20:04 | 0:20:08 | |
-Good. Have you been up and around? -I've been up. | 0:20:08 | 0:20:11 | |
I went for a walk earlier and got washed all by myself. | 0:20:11 | 0:20:13 | |
-Good man. -Glad it's over. -Glad it's over, absolutely. | 0:20:13 | 0:20:16 | |
-You and me both. -Thank you. -You're very welcome. Right, OK. | 0:20:16 | 0:20:20 | |
-All right. -See you in a bit. -Thank you very much. -All right, OK. | 0:20:20 | 0:20:24 | |
I was sick, yesterday. | 0:20:24 | 0:20:26 | |
It was rough with all the stitching and all that. | 0:20:26 | 0:20:30 | |
Then I felt all right after that, like. | 0:20:30 | 0:20:32 | |
People say he's looking worse than me! | 0:20:32 | 0:20:35 | |
So, I don't know. | 0:20:35 | 0:20:37 | |
But, no, I think he's doing all right, like. | 0:20:37 | 0:20:40 | |
He'll soon recover and the surgeon said he'll be out | 0:20:40 | 0:20:43 | |
in a few days' time and all, so. | 0:20:43 | 0:20:46 | |
Did you get a drop of dinner, did you? | 0:20:46 | 0:20:49 | |
Aye, smoked fish or something. | 0:20:49 | 0:20:51 | |
Are you getting the hell out? | 0:20:51 | 0:20:53 | |
I'll say it's lovely as we're on camera, but it's not really. | 0:20:53 | 0:20:57 | |
-Are you feeling well anyway? -Oh, aye. | 0:20:57 | 0:21:00 | |
It's good to see him up and about, like. | 0:21:00 | 0:21:02 | |
That's what it was all for, like, so it was. | 0:21:02 | 0:21:06 | |
Definitely. | 0:21:06 | 0:21:08 | |
Having that kidney, that doubles his life expectancy | 0:21:08 | 0:21:13 | |
immediately compared to being on renal dialysis | 0:21:13 | 0:21:18 | |
and he will be able to lead a normal life. | 0:21:18 | 0:21:21 | |
Two months after her assessment, Aoife returns | 0:21:28 | 0:21:31 | |
to Musgrave Park Hospital for her botulinum toxin injection. | 0:21:31 | 0:21:36 | |
Ideally what we'd like to do today is to do two injections, | 0:21:36 | 0:21:39 | |
one in her little thumb to help bring the thumb position out | 0:21:39 | 0:21:44 | |
and help improve... | 0:21:44 | 0:21:45 | |
Just like that, angel, just like that. OK? | 0:21:45 | 0:21:47 | |
Well, that'll be good, won't it, darling? | 0:21:47 | 0:21:49 | |
It's going to help your hand, isn't it? | 0:21:49 | 0:21:51 | |
Well, I just do that with my thumb | 0:21:51 | 0:21:53 | |
with the other thumb, that's why. | 0:21:53 | 0:21:56 | |
Like this. | 0:21:56 | 0:21:58 | |
Can we do high-fives? | 0:21:58 | 0:22:01 | |
Good girl! | 0:22:01 | 0:22:03 | |
'The medication itself is a very small volume' | 0:22:03 | 0:22:06 | |
and we use very fine needles but children who're old enough | 0:22:06 | 0:22:09 | |
and can tell us, say that some of the injections in the upper limb, | 0:22:09 | 0:22:12 | |
there's a slight sting but that's about it. | 0:22:12 | 0:22:15 | |
For young children, even the process of coming up to hospital | 0:22:15 | 0:22:18 | |
can sometimes cause distress and I think in Aoife's case, | 0:22:18 | 0:22:22 | |
one of the things that bothered her | 0:22:22 | 0:22:24 | |
was actually the jelly that we need to use for ultrasound scanning. | 0:22:24 | 0:22:30 | |
In the end, Dr Lundy decides to give Aoife her injection a bit later | 0:22:30 | 0:22:34 | |
but she's able to give Eva, who's in the next bed, her injection. | 0:22:34 | 0:22:38 | |
Eva has been born with cerebral palsy | 0:22:38 | 0:22:42 | |
affecting her left side. | 0:22:42 | 0:22:45 | |
Her left arm, she has very little use of it at all | 0:22:45 | 0:22:49 | |
and she can't hold anything in it, she's no grasp. | 0:22:49 | 0:22:52 | |
So we're hoping that these injections today can maybe just | 0:22:52 | 0:22:55 | |
loosen her arm up a wee bit and give her a wee bit more use of it. | 0:22:55 | 0:22:59 | |
Who's going to sit beside you of these guys? | 0:22:59 | 0:23:02 | |
-Both. -Both of them, OK. | 0:23:02 | 0:23:04 | |
'The families that I work with are just incredible.' | 0:23:04 | 0:23:08 | |
They constantly surprise me with, you know, | 0:23:08 | 0:23:13 | |
their level of commitment to their children. | 0:23:13 | 0:23:16 | |
You're OK, pet, you're all right. | 0:23:16 | 0:23:20 | |
-A little jag, pet. -It's going to take two seconds. -Superstar. | 0:23:20 | 0:23:24 | |
You are super. | 0:23:24 | 0:23:26 | |
Good girl. | 0:23:26 | 0:23:28 | |
Brilliant. Good girl. | 0:23:28 | 0:23:30 | |
That's a big smile. | 0:23:30 | 0:23:31 | |
'For many families, their children are in daily pain | 0:23:31 | 0:23:35 | |
'and those would be the children that we really try and prioritise | 0:23:35 | 0:23:40 | |
'as best we can' | 0:23:40 | 0:23:42 | |
and I don't know that I could ever do what they do. | 0:23:42 | 0:23:45 | |
So stretch your arm out this way. | 0:23:45 | 0:23:48 | |
In Belfast's Mater Hospital, | 0:23:51 | 0:23:53 | |
Chaplain Rosie Morton begins her rounds. | 0:23:53 | 0:23:56 | |
Being a chaplain is a distinct ministry. | 0:23:59 | 0:24:01 | |
It's different to being in a parish or a church | 0:24:01 | 0:24:04 | |
and it's different because you are part of a team. | 0:24:04 | 0:24:07 | |
There are times when I would go away and I'm not so brave faced, | 0:24:07 | 0:24:10 | |
I would weep, because some of the things are very difficult. | 0:24:10 | 0:24:13 | |
'It's not a role for the faint-hearted.' | 0:24:13 | 0:24:16 | |
Hello, Ann. It's lovely to see you. | 0:24:17 | 0:24:19 | |
-Nice to see you, too. -Now, I haven't seen you for... | 0:24:19 | 0:24:23 | |
-Since last week. -It was. Last time I was in a different ward. | 0:24:23 | 0:24:27 | |
The first two nights, I cried myself to sleep, | 0:24:27 | 0:24:28 | |
I couldn't sleep. | 0:24:28 | 0:24:30 | |
-Yeah. -But thank goodness now I can. | 0:24:30 | 0:24:32 | |
'Ann is quite a sad story.' | 0:24:32 | 0:24:36 | |
She has lost touch with some of her family. | 0:24:36 | 0:24:40 | |
-And, Ann, would you like me to say a wee prayer with you? -I would. | 0:24:40 | 0:24:43 | |
Well, you could pray for my son who I haven't seen for about 16 years. | 0:24:43 | 0:24:47 | |
-Just that he's fine and I hope he keeps well, you know? -OK. | 0:24:47 | 0:24:52 | |
And he's two children, so I don't see them, you know? | 0:24:52 | 0:24:56 | |
And, it's hard to... I know it's a long time ago, | 0:24:57 | 0:25:01 | |
but it's hard to sometimes cope with it, you know? | 0:25:01 | 0:25:05 | |
Do you have any other family? | 0:25:05 | 0:25:08 | |
No, I have two brothers but we don't bother... | 0:25:08 | 0:25:12 | |
And my sister died about a year and a half ago | 0:25:12 | 0:25:14 | |
and I just read that in the paper. | 0:25:14 | 0:25:17 | |
Oh, goodness. | 0:25:17 | 0:25:18 | |
And my husband was murdered during the Troubles, so... | 0:25:18 | 0:25:22 | |
I've sort of never got over that, like. | 0:25:22 | 0:25:25 | |
You've had an awful lot of hard things. | 0:25:25 | 0:25:28 | |
I have but people don't... | 0:25:28 | 0:25:29 | |
-don't realise, you know what I mean? -No. | 0:25:29 | 0:25:33 | |
-Well, will I say a prayer? -Yes. | 0:25:33 | 0:25:36 | |
Gracious God, we come as we are | 0:25:36 | 0:25:40 | |
because we can do no other than be ourselves. | 0:25:40 | 0:25:44 | |
'Clearly there's been stuff...' | 0:25:44 | 0:25:47 | |
A really difficult number of things in her life. | 0:25:47 | 0:25:50 | |
But today and every day be close to Ann. | 0:25:50 | 0:25:53 | |
Amen. | 0:25:53 | 0:25:55 | |
-Thank you very much indeed. -Thank you. | 0:25:55 | 0:25:57 | |
-That was lovely. -Thank you. | 0:25:57 | 0:25:59 | |
-Well, it's been good seeing you today. -It's good seeing you. | 0:25:59 | 0:26:02 | |
-Thank you. -Thank you very much. | 0:26:02 | 0:26:05 | |
It's very humbling, meeting somebody and listening to that. | 0:26:05 | 0:26:09 | |
It's been over three months since | 0:26:14 | 0:26:16 | |
Jonathan donated his kidney to William. | 0:26:16 | 0:26:18 | |
Life has changed dramatically. | 0:26:18 | 0:26:20 | |
Obviously, after the operation it takes a bit of time | 0:26:21 | 0:26:25 | |
for all the healing process and all to take place. | 0:26:25 | 0:26:28 | |
Just waking up and feeling healthy and strong, | 0:26:29 | 0:26:33 | |
you know, being able to eat my steak again, is... | 0:26:33 | 0:26:36 | |
is mighty. | 0:26:36 | 0:26:38 | |
We are a close family, like, but Johnny, | 0:26:39 | 0:26:42 | |
when I look at him now, like, he's definitely... | 0:26:42 | 0:26:45 | |
You know, for him to do that for me was amazing, like, | 0:26:45 | 0:26:49 | |
and I just think the world of my brother. | 0:26:49 | 0:26:53 | |
Well, I'm keeping well now, like! | 0:26:53 | 0:26:56 | |
The first few days was a bit tough. | 0:26:57 | 0:27:00 | |
Well, I wouldn't say tough, just a bit... | 0:27:00 | 0:27:02 | |
I was maybe a bit sicker than I thought I was going to be but just | 0:27:02 | 0:27:06 | |
everyday after that, gradually you could feel yourself getting better. | 0:27:06 | 0:27:10 | |
Now I wouldn't even know I've had the op, whereas for William there, | 0:27:10 | 0:27:14 | |
he's just totally, totally changed. | 0:27:14 | 0:27:16 | |
It's like the difference between night and day. | 0:27:16 | 0:27:18 | |
It makes me feel that it was worth it, so it was. | 0:27:18 | 0:27:22 | |
The wife, she's expecting again now, which is sort of like | 0:27:24 | 0:27:29 | |
a bit of sunshine in the bit of bad weather, | 0:27:29 | 0:27:33 | |
you could call it, that we had. | 0:27:33 | 0:27:35 | |
-Go ahead. -Pull. | 0:27:39 | 0:27:42 | |
By receiving that kidney, I would hope that that kidney would last, | 0:27:45 | 0:27:51 | |
on average, at least 25 years | 0:27:51 | 0:27:53 | |
and give William a successful life for 25 years, | 0:27:53 | 0:27:57 | |
and our record in Belfast | 0:27:57 | 0:27:59 | |
for length of graft function is 40 years and still going. | 0:27:59 | 0:28:02 | |
'It feels amazing just to be out and about again | 0:28:07 | 0:28:10 | |
'and enjoying each other's company again | 0:28:10 | 0:28:14 | |
'now we're all fit and well. | 0:28:14 | 0:28:16 | |
'I think people take life for granted, sometimes. | 0:28:18 | 0:28:22 | |
'It is a pretty amazing thing what the doctors | 0:28:22 | 0:28:24 | |
'and all can do for you and I can't be more thankful for it.' | 0:28:24 | 0:28:27 |