0:00:03 > 0:00:08In Wales, around 200 people are currently waiting for an organ transplant.
0:00:09 > 0:00:12If I stop dialysis, I'd probably last a fortnight
0:00:12 > 0:00:14before I could possibly die.
0:00:15 > 0:00:20On average, someone dies every 11 days on the waiting list.
0:00:20 > 0:00:23You'll have to go for the op.
0:00:23 > 0:00:24You've got to do it, you're going to die.
0:00:26 > 0:00:32Last year, Wales led the way in the UK and changed the law to presumed consent.
0:00:32 > 0:00:35It's a landmark day for Wales,
0:00:35 > 0:00:39but it's a landmark day for people who are waiting for transplants.
0:00:39 > 0:00:42Now, it's assumed that we are all potential donors when we die...
0:00:45 > 0:00:49..unless we opt out or express such wishes to our loved ones.
0:00:50 > 0:00:54A single donor can change the lives of so many who are waiting for the
0:00:54 > 0:00:57call for the gift of life.
0:00:57 > 0:01:01Unless something drastic happens, I'm going to have my transplant.
0:01:03 > 0:01:08With unprecedented access to the transplant teams at the University Hospital of Wales,
0:01:08 > 0:01:12this series follows the incredible journey from one person's death...
0:01:13 > 0:01:17..to others receiving The Greatest Gift.
0:01:38 > 0:01:4148-year-old Kim Hodge has cystic fibrosis...
0:01:44 > 0:01:47..a debilitating disease with no cure.
0:01:50 > 0:01:53SHE COUGHS
0:01:53 > 0:01:56She's been admitted to hospital with a chest infection.
0:01:56 > 0:01:58SHE COUGHS
0:01:58 > 0:02:04Heavy physiotherapy is just one part of the daily routine to keep Kim alive.
0:02:04 > 0:02:06Ah, I can breathe a bit now, for a little while.
0:02:08 > 0:02:10I haven't been here so much in my entire life.
0:02:12 > 0:02:16All the years I've had CF, I've handled it really, really well
0:02:16 > 0:02:20and I think in 25 years,
0:02:20 > 0:02:24I've probably only had five hospital admissions.
0:02:24 > 0:02:28My lungs are really, really tired now.
0:02:28 > 0:02:31I'm thinking is it this one, is this one going to kill me?
0:02:31 > 0:02:37I still think that, because today there's not a big improvement.
0:02:38 > 0:02:43This is a transplant lungs selection form...
0:02:45 > 0:02:46..with options.
0:02:48 > 0:02:50And once I sign this,
0:02:50 > 0:02:53I will probably go on the transplant list within a week.
0:02:55 > 0:02:57When I look at this letter, I feel physically sick.
0:02:59 > 0:03:02You're not buying a new dress, you're picking someone's lungs.
0:03:02 > 0:03:04It's a gamble.
0:03:05 > 0:03:08Transplant comes with it...
0:03:09 > 0:03:11..other issues.
0:03:11 > 0:03:13I'm not going to be cured of CF,
0:03:13 > 0:03:16you don't have a transplant and then you're cured of CF.
0:03:16 > 0:03:20People seem to think you have a transplant and then you're cured.
0:03:20 > 0:03:22You're not.
0:03:22 > 0:03:26I've got a very strong feeling that I'm on borrowed time.
0:03:26 > 0:03:28He give me a year to live in January...
0:03:30 > 0:03:33..and now we're in May and the months are counting down.
0:03:37 > 0:03:41Kim's only chance of survival is to have lungs donated to her
0:03:41 > 0:03:43by someone after they've died.
0:03:48 > 0:03:52For some people in need of a transplant, there is another option.
0:03:56 > 0:03:5959-year-old Glyn Lewis has kidney failure.
0:04:01 > 0:04:07His daughter Sarah has come forward to donate one of her kidneys to him.
0:04:07 > 0:04:09139/89. What is it normally?
0:04:11 > 0:04:13Um, yeah, normally, a bit lower than that.
0:04:13 > 0:04:18Before the big day, a final chat with transplant surgeon Mike Stevens.
0:04:20 > 0:04:22- How are you, Sarah?- I'm good, thank you.
0:04:22 > 0:04:24- Good.- Nice to meet you. - And you as well.
0:04:24 > 0:04:27Looking through the scans that you've had,
0:04:27 > 0:04:30it's the left kidney that we're going to remove. Is that right?
0:04:30 > 0:04:35- Yeah.- OK. And you understand the reason why we are going to take the left kidney out?
0:04:35 > 0:04:37The liver's on the other side?
0:04:37 > 0:04:39It's partly that.
0:04:39 > 0:04:43Probably the main reason is that the kidney on the left side
0:04:43 > 0:04:45has a slightly longer vein.
0:04:45 > 0:04:46Ah, so it's easier to put in?
0:04:46 > 0:04:49It makes the transplant operation a little bit easier for your...
0:04:49 > 0:04:52- It's your father you are donating to, isn't it?- Yes, yeah.
0:04:52 > 0:04:56From your side, it doesn't make any difference if it's the left kidney or the right kidney.
0:04:56 > 0:05:00You should be able to live perfectly happily with one kidney.
0:05:00 > 0:05:04- OK.- Was there ever any doubt that you would do this for your dad?
0:05:04 > 0:05:07Absolutely not. It just seems like the natural thing to do.
0:05:07 > 0:05:09So right from day one, you've always said, haven't you,
0:05:09 > 0:05:12if there's any doubt in your mind whatsoever, even said this morning,
0:05:12 > 0:05:14"You sure you still want to do it now?"
0:05:14 > 0:05:18But, yeah, like I said, it feels like the natural thing to do.
0:05:18 > 0:05:21Everyone is so supportive, so...
0:05:21 > 0:05:22I'm really lucky.
0:05:22 > 0:05:25For me, it's Hobson's choice that I've got to go through,
0:05:25 > 0:05:27but it's not for them.
0:05:27 > 0:05:29It's their own choice. That's brilliant.
0:05:31 > 0:05:34You're a lucky man. You've got a lovely daughter there.
0:05:34 > 0:05:36I am.
0:05:36 > 0:05:38THEY LAUGH
0:05:39 > 0:05:41Best look after it now, afterwards!
0:05:41 > 0:05:45Absolutely, without a shadow of a doubt.
0:05:45 > 0:05:49There are many people out there who need kidney transplants
0:05:49 > 0:05:52but don't have anybody who is able to donate for them.
0:05:52 > 0:05:57So we are still entirely reliant on the deceased donor pool
0:05:57 > 0:06:01to provide kidneys for the rest of the patients.
0:06:01 > 0:06:03One of the big aims, of course,
0:06:03 > 0:06:08is that the change in legislation will mean we will have more of those kidneys available.
0:06:10 > 0:06:14Many of the hospital staff have been instrumental in promoting the change
0:06:14 > 0:06:17in the law to presumed consent for organ donation.
0:06:17 > 0:06:21Your general views, then, about the change that's happening?
0:06:21 > 0:06:24We are talking potentially at least another 45 organs available for
0:06:24 > 0:06:26transplant across the UK.
0:06:26 > 0:06:30Chris Hingston is a consultant in Cardiff's intensive care unit.
0:06:30 > 0:06:34A big part of my job is promoting organ donation and if that involves
0:06:34 > 0:06:39interacting with the media, that's an important way to reach the largest number of people.
0:06:39 > 0:06:43So, it's not something that we're unused to doing in organ donation.
0:06:43 > 0:06:47But it's great that people are so interested in it.
0:06:50 > 0:06:53A3 North critical care.
0:06:53 > 0:06:57This ward is where the most seriously ill patients are cared for.
0:06:57 > 0:07:02Subsequently, it's where the topic of organ donation comes up most frequently.
0:07:05 > 0:07:08Tonight, Chris is looking after a patient in his early 40s.
0:07:10 > 0:07:13Steven has suffered a brain aneurysm.
0:07:13 > 0:07:15Steve came into the hospital earlier today.
0:07:15 > 0:07:19He was unconscious and was put onto a ventilator and he's had his head scanned.
0:07:19 > 0:07:25And unfortunately, that's shown a devastating head injury which really isn't survivable.
0:07:25 > 0:07:30We've had neurosurgical opinion and other experts have seen him.
0:07:30 > 0:07:34I've seen him myself now as well and there's no hope really of recovery.
0:07:35 > 0:07:37It's a tragic situation - of course it is.
0:07:37 > 0:07:40He has a young baby at home as well, five months old -
0:07:40 > 0:07:43which, you know, is difficult for all of us looking after him as well,
0:07:43 > 0:07:46bearing that in mind and meeting his family this evening.
0:07:52 > 0:07:56Steven and his partner Vicky had been together for almost ten years.
0:07:57 > 0:08:02They'd recently become parents to a little girl called Zaren.
0:08:02 > 0:08:05As soon as she came, he was brilliant.
0:08:05 > 0:08:09He was attentive and thoughtful and loving.
0:08:09 > 0:08:11I don't think she could have -
0:08:11 > 0:08:14I don't think we could have asked for her to have a better dad.
0:08:14 > 0:08:21She was the apple of his eye from the moment she came into the world.
0:08:21 > 0:08:25I just found him on the floor. He wasn't really breathing.
0:08:25 > 0:08:28He was breathing, but he wasn't moving.
0:08:28 > 0:08:31I could see that something really terrible had happened,
0:08:31 > 0:08:33but I thought he was very ill
0:08:33 > 0:08:36because this sort of thing doesn't happen to you -
0:08:36 > 0:08:38it happens to other people.
0:08:38 > 0:08:42Even when they took him in the ambulance and when we went to A&E,
0:08:42 > 0:08:47I was sure they were going to say, you know, "He is very ill, but he is going to recover."
0:08:47 > 0:08:53It's such a shock when they tell you, "That's it, he's gone."
0:08:56 > 0:09:00It never even entered my head that he would die.
0:09:00 > 0:09:02You know, he was 42.
0:09:02 > 0:09:05We've just had a baby, who wasn't even six months old.
0:09:11 > 0:09:13With no hope of recovery,
0:09:13 > 0:09:17the medical team will now assess Steven's suitability for organ donation.
0:09:24 > 0:09:27No, I'm not going up the hill, Molls. Come on.
0:09:27 > 0:09:29She's a stubborn dog!
0:09:30 > 0:09:32Aw! Now my heart's going 100 mile an hour.
0:09:34 > 0:09:36For now, Kim's out of hospital.
0:09:37 > 0:09:41But living with cystic fibrosis means every day is a struggle for her.
0:09:43 > 0:09:46She can't go anywhere without her oxygen pack.
0:09:46 > 0:09:49Keeps my lungs breathing, that's for sure.
0:09:49 > 0:09:52I think I should have just had a Jack Russell!
0:09:52 > 0:09:54But I wouldn't change her for the world now.
0:09:54 > 0:09:57Because I love Molly. Aw!
0:10:00 > 0:10:04- God...- You feeling all right?
0:10:04 > 0:10:06A little bit out of breath.
0:10:06 > 0:10:09Before Molly came into my life,
0:10:09 > 0:10:11I was ready to die
0:10:11 > 0:10:15and I was going to completely decline the lung transplant.
0:10:15 > 0:10:19And I did tell the doctors I was going to decline it.
0:10:19 > 0:10:23Because I just...I don't know why, I thought I'd been through enough.
0:10:23 > 0:10:26You know - do I want to go through any more?
0:10:26 > 0:10:30And then, when I bumped into Molly and got to know Molly, I thought,
0:10:30 > 0:10:33"No, I'm going to live my life or I'm going to die trying."
0:10:33 > 0:10:39And the thought of somebody who is currently living,
0:10:39 > 0:10:43is going to save me and give me the gift of life,
0:10:43 > 0:10:46I find quite difficult.
0:10:46 > 0:10:50So the person's actually living their life at the moment,
0:10:50 > 0:10:53who's going to offer me a chance of life.
0:10:53 > 0:10:56And that's difficult for me.
0:10:59 > 0:11:03Sadly, as well as living with lungs that have been deteriorating,
0:11:03 > 0:11:05Kim lost her mum when she was 21.
0:11:07 > 0:11:10This is my gravestone.
0:11:10 > 0:11:12This is where I'm going to be if things don't work...
0:11:14 > 0:11:15..out right for me.
0:11:15 > 0:11:19If I don't get the transplant call in time,
0:11:19 > 0:11:23this is where I'm going to be in the family grave with my mother
0:11:23 > 0:11:25and the rest of my relatives.
0:11:27 > 0:11:29As you can see, my stone is there ready.
0:11:29 > 0:11:32Which is difficult - when I come up here and I look at the stone,
0:11:32 > 0:11:35I think, "My God, I'm going to be...". I can visualise my name on there.
0:11:37 > 0:11:42And the other day I was trying to work out would it be Kimberly or Kim - which would fit?
0:11:44 > 0:11:45It's a mad way to think, really.
0:11:52 > 0:11:56Not everyone has to wait for somebody to pass away to get their life-changing surgery.
0:12:01 > 0:12:03PHONE RINGS
0:12:03 > 0:12:05Hello, Cardiff transplant unit.
0:12:05 > 0:12:10On the transplant ward, Sarah is about to donate a kidney to her dad Glyn.
0:12:10 > 0:12:14Pressure is good, you haven't got a temperature.
0:12:15 > 0:12:17- Morning.- Hello.- How are you?
0:12:17 > 0:12:19- I don't know. - SHE LAUGHS
0:12:19 > 0:12:22The procedure will be performed by surgeon Mike Stevens.
0:12:22 > 0:12:23Good, all set?
0:12:24 > 0:12:26- Need the loo first.- OK.
0:12:26 > 0:12:29SHE LAUGHS
0:12:29 > 0:12:31Fine. Any last-minute questions?
0:12:31 > 0:12:33- I don't think so.- Good.
0:12:34 > 0:12:37- Excellent.- Glad the wait's over now.
0:12:37 > 0:12:41Been pondering for about the last three hours, haven't we?
0:12:41 > 0:12:43- OK.- Let's do it.
0:12:43 > 0:12:45How you feeling, Glyn?
0:12:45 > 0:12:49Apprehensive, but very proud of my girl.
0:12:51 > 0:12:52Mind over matter, isn't it?
0:12:52 > 0:12:56- Yeah, yeah.- Yeah.
0:12:56 > 0:12:59It's fine. I'm surprised I'm not nervous yet, to be honest.
0:13:29 > 0:13:30Come on.
0:13:44 > 0:13:47The retrieval of Sarah's kidney will take around three hours.
0:13:47 > 0:13:50BACKGROUND CHATTER
0:13:52 > 0:13:57Mike and his team perform around four live donations like this each month.
0:13:57 > 0:13:58It's still there.
0:13:59 > 0:14:07It is the minority of people who have transplants who get kidneys donated from live donors.
0:14:07 > 0:14:09That's if everybody who does have a potential donor...
0:14:11 > 0:14:14..comes forward and makes use of them -
0:14:14 > 0:14:17it kind of expands the deceased donor pool,
0:14:17 > 0:14:19which is good for everybody, really.
0:14:29 > 0:14:31We do most of it through keyhole surgery,
0:14:31 > 0:14:37but we do need a kidney-sized incision to remove the kidney from.
0:14:37 > 0:14:40A surgeon, while he's doing the operation,
0:14:40 > 0:14:42will have one hand inside the tummy to help.
0:14:42 > 0:14:45It's a fairly unusual way of doing surgery.
0:14:45 > 0:14:48What we call hand-assisted keyhole.
0:14:50 > 0:14:54This is the camera and if we look on the screen now -
0:14:54 > 0:14:55slightly strange view.
0:14:55 > 0:14:58We've got the surgeon's hand.
0:15:07 > 0:15:11So what we need to do is identify all of the structures
0:15:11 > 0:15:15that surround the kidney, the blood supply to it.
0:15:15 > 0:15:19We need to take all of those safely.
0:15:32 > 0:15:34Over on the intensive care unit,
0:15:34 > 0:15:37there's been no change in Steven's condition.
0:15:37 > 0:15:39I looked earlier...
0:15:39 > 0:15:45Doctors Chris Hingston and Matt Morgan are about to perform their final examination.
0:15:45 > 0:15:47Shall we just proceed with the test, then?
0:15:47 > 0:15:48Tell you what, Matt, if I do,
0:15:48 > 0:15:52you watch, and then the other way round for the second set,
0:15:52 > 0:15:53- if that's OK with you?- Yeah.
0:15:56 > 0:16:00These checks will confirm the consultant's diagnosis.
0:16:02 > 0:16:04No reaction. Happy with that?
0:16:06 > 0:16:09There was no movement when the corneas were touched.
0:16:10 > 0:16:13No eye movement, no motor response.
0:16:13 > 0:16:15So I am satisfied as the observer of that test.
0:16:15 > 0:16:16Fine, OK.
0:16:17 > 0:16:20What you have seen us doing is a set of tests looking at the basic
0:16:20 > 0:16:21reflexes within the head.
0:16:24 > 0:16:28As I said, very primary, even basic reflexes that should be present,
0:16:28 > 0:16:31but the brain is so badly damaged and the brainstem is dead,
0:16:31 > 0:16:33that those reflexes aren't there.
0:16:39 > 0:16:41After receiving this news,
0:16:41 > 0:16:45the family made the decision to donate Steven's organs to help others.
0:16:47 > 0:16:50Even though there is the automatic opt-in,
0:16:50 > 0:16:53they still ask you what you want to do.
0:16:53 > 0:16:58If you haven't had a discussion and you haven't talked about it,
0:16:58 > 0:17:00it's still a tricky decision to make.
0:17:00 > 0:17:05It's a difficult decision to make, you know, and at the time,
0:17:05 > 0:17:08you don't feel like you want to part with any of him,
0:17:08 > 0:17:11but they also tell you that they
0:17:11 > 0:17:13kind of need to do it quickly as well.
0:17:13 > 0:17:18There's a point where his organs wouldn't be useful to people.
0:17:18 > 0:17:20So you know you haven't got all the time in the world to make your
0:17:20 > 0:17:25decision, either, so if you've had a conversation, then it does make it easier.
0:17:25 > 0:17:30Steven was generous in life - why wouldn't he be generous in death?
0:17:30 > 0:17:35If you're...if we needed something, if I was waiting for a liver,
0:17:35 > 0:17:36you'd be praying...
0:17:39 > 0:17:42..that someone would give it.
0:17:42 > 0:17:46So, I think if you are prepared to take it...
0:17:48 > 0:17:50..then you kind of need to be prepared to give it as well.
0:17:51 > 0:17:54And like I say, he was generous in life -
0:17:54 > 0:17:56why wouldn't he be generous in death?
0:18:06 > 0:18:07In the transplant theatre,
0:18:07 > 0:18:10the team are nearing the end of Sarah's operation.
0:18:11 > 0:18:12Very nice kidney.
0:18:14 > 0:18:17Nice and slender donor, which makes a difference for us.
0:18:17 > 0:18:22A lot of our patients aren't quite as slender as that.
0:18:22 > 0:18:23That does make things easier for me.
0:18:23 > 0:18:25So, yeah - it went smoothly.
0:18:28 > 0:18:33Now, it's dad Glyn's turn to go on the operating table.
0:18:33 > 0:18:35A long wait, but as long as she's OK, that's perfect.
0:18:38 > 0:18:40- Your bit now? - Yeah, that's the easy bit!
0:18:43 > 0:18:48Surgeon Rafael Chavez will be transplanting Sarah's kidney into Glyn.
0:18:50 > 0:18:55At the moment we are starting the connection of the vein of the kidney to the vein of the patient.
0:18:55 > 0:18:57Then we have to do the artery.
0:18:58 > 0:19:00After that, we perfuse the kidney with blood,
0:19:00 > 0:19:02and everything being OK then,
0:19:02 > 0:19:06we complete the operation by connecting the urethra to the bladder.
0:19:12 > 0:19:16We are just going to reperfuse the kidney now. OK, go.
0:19:16 > 0:19:18So, reperfusion time on the board, please.
0:19:18 > 0:19:21Can you record the time? Kidney is going pink.
0:19:23 > 0:19:24A squirt of...
0:19:25 > 0:19:28Look at that.
0:19:28 > 0:19:29- Can you see?- I can.
0:19:31 > 0:19:35You can? OK, that is urine and the kidney is looking pretty.
0:19:35 > 0:19:36Brilliant.
0:19:36 > 0:19:37Nice.
0:19:39 > 0:19:42It's an amazing gift to be able to give, isn't it?
0:19:42 > 0:19:46It is and it is a gift for the person that receives
0:19:46 > 0:19:48and it is a gift for the person that gives.
0:20:00 > 0:20:04Back in hospital with another infection is Kim.
0:20:04 > 0:20:08And her reluctance to go on the transplant list is concerning her
0:20:08 > 0:20:10consultant, Dr Ian Ketchell.
0:20:10 > 0:20:11- Hi, Kim.- Hiya.
0:20:11 > 0:20:13- How are we doing?- I'm all right.
0:20:13 > 0:20:16Just thought I'd pop in and see you because I hear you've come in for two days?
0:20:16 > 0:20:18Yeah, come for two days.
0:20:18 > 0:20:19Just to check your oxygen levels?
0:20:19 > 0:20:22Yeah. I'm feeling a little bit tired.
0:20:22 > 0:20:25Everybody seeing you will see how well you look.
0:20:25 > 0:20:29We know on a bad day you can look very unwell -
0:20:29 > 0:20:31potentially life-threatening admissions to hospital,
0:20:31 > 0:20:33as you've had already this year.
0:20:33 > 0:20:37- Yeah.- Therefore, we think it's really important that you do actually get the transplant.
0:20:39 > 0:20:40- So...- I've had enough this time.
0:20:40 > 0:20:42I have had enough. Because it's very soon from the last time.
0:20:42 > 0:20:45Do you think you are ready to sign all the forms?
0:20:45 > 0:20:47I'm very, very close now.
0:20:47 > 0:20:51The time to go is when you are feeling well enough, feeling OK.
0:20:51 > 0:20:53And that's when you probably think, do I really need to go?
0:20:53 > 0:20:55- Yeah.- But then, when you're feeling unwell,
0:20:55 > 0:20:59feeling very poorly and everything looks not so good,
0:20:59 > 0:21:02then we may say, "You're not good enough to go for one."
0:21:02 > 0:21:05It's really difficult and I can't imagine how it must feel.
0:21:05 > 0:21:08But, yes, we all think it's the time. So, good luck.
0:21:08 > 0:21:11- I'll speak to you soon. - See you soon. - Take care.- Thanks, Dr Ketchell. Bye.
0:21:12 > 0:21:14It's a difficult decision for Kim.
0:21:14 > 0:21:20You know, you've got to look at the potential of dying on a transplant table,
0:21:20 > 0:21:23to how long will she survive without a transplant?
0:21:23 > 0:21:25So we make these decisions of, does she need one?
0:21:25 > 0:21:28Yes. She is fully aware of the complications,
0:21:28 > 0:21:30but it's time to sign and go.
0:21:32 > 0:21:34It's quite cold in here, isn't it, Dad?
0:21:34 > 0:21:36As Kim's health has been deteriorating,
0:21:36 > 0:21:39her dad Jeff is becoming more concerned.
0:21:39 > 0:21:43When are you going to sign up for the transplant now?
0:21:46 > 0:21:48I'm going to die if I don't sign up.
0:21:48 > 0:21:52You'd better hurry up, put your name down now.
0:21:52 > 0:21:54- Yeah.- Why don't you, then?
0:21:55 > 0:21:59You've got no life as you are. You're not getting anywhere.
0:21:59 > 0:22:02They are not going to do the op
0:22:02 > 0:22:05- unless they think there is a good chance of you surviving.- Mmm.
0:22:07 > 0:22:10If you get five years, it's better than five months.
0:22:12 > 0:22:14Kim, you've got to do it - you're going to die.
0:22:15 > 0:22:16You've just got to do it.
0:22:17 > 0:22:22At the moment, you are on one direct line to the cemetery.
0:22:22 > 0:22:24SHE LAUGHS
0:22:24 > 0:22:27Kim, look at the bloody expense, I've got to hire the Mercs!
0:22:27 > 0:22:32SHE LAUGHS
0:22:32 > 0:22:33Be cheaper to...!
0:22:34 > 0:22:36He's got a sick sense of humour!
0:22:38 > 0:22:39One-way direction!
0:22:41 > 0:22:44Do you want me to take that for you, or what?
0:22:44 > 0:22:46Right state, I am. You can't drive.
0:22:46 > 0:22:49- Dad.- Come on, let's go.- Push that.
0:22:49 > 0:22:52Wait now, because I'm attached to it, Dad.
0:22:53 > 0:22:55Right. Go behind, Dad.
0:22:56 > 0:22:59Can't go both together. It's too narrow.
0:22:59 > 0:23:01Don't worry.
0:23:04 > 0:23:06Go slow, Dad.
0:23:12 > 0:23:16On the intensive care unit, Steven is being prepared for theatre.
0:23:21 > 0:23:24The family have kindly already consented to organ donation.
0:23:24 > 0:23:27Thankfully, they've decided that that's what he would have wanted,
0:23:27 > 0:23:30so we are very grateful for that and there's a number of people, you know,
0:23:30 > 0:23:32who are going to get a call later on today
0:23:32 > 0:23:36who will be absolutely delighted with that for them as well, so
0:23:36 > 0:23:38it's really just changing lives and one of the few things we can do
0:23:38 > 0:23:42to really save lives in a very sort of tangible way, often.
0:23:42 > 0:23:46We can help huge numbers of people through Steve's gift today, really,
0:23:46 > 0:23:48which, you know - it's fantastic.
0:23:52 > 0:23:55No pressure, false bag running. Yeah.
0:23:55 > 0:23:57Specialist organ donation nurse Nicky
0:23:57 > 0:23:59will be coordinating in theatre.
0:24:02 > 0:24:09He's donating his liver and his pancreas and both kidneys and his heart for heart valves.
0:24:09 > 0:24:12- It's amazing, isn't it? - It is amazing, it is, absolutely.
0:24:12 > 0:24:15And potentially, his liver might go to two recipients.
0:24:15 > 0:24:17So that really is amazing.
0:24:21 > 0:24:24Yeah, 540, I've got that.
0:24:24 > 0:24:28Liver. Gosh, that's...heavy.
0:24:28 > 0:24:30INAUDIBLE CONVERSATION
0:24:30 > 0:24:32It's quite big, isn't it?
0:24:38 > 0:24:39They've got the organs out.
0:24:39 > 0:24:41They're just sorting out the other bits and pieces.
0:24:41 > 0:24:44I'll ring you as soon as they're leaving, OK?
0:24:46 > 0:24:49One artery, one vein, one ureter.
0:24:49 > 0:24:50Number of arterial patches?
0:24:52 > 0:24:54- One.- No damage to anything on the right?
0:24:54 > 0:24:56Correct.
0:24:56 > 0:24:57Right kidney.
0:25:09 > 0:25:13They said they had used both of his kidneys.
0:25:13 > 0:25:17Um, one had gone to a lady in her 60s.
0:25:17 > 0:25:23The other one had gone to a man, I think in his 40s.
0:25:23 > 0:25:26And his liver had gone to a lady,
0:25:26 > 0:25:30another lady again in her 60s who would have died without it.
0:25:31 > 0:25:36He's changed other people's lives for the better, you know.
0:25:36 > 0:25:39When he was here, he was a good person.
0:25:39 > 0:25:43So, why wouldn't he be afterwards?
0:25:45 > 0:25:49I do think it's a great gift, and I think
0:25:49 > 0:25:53the people who received his organs think it was the greatest gift.
0:25:53 > 0:25:54And I think their families,
0:25:54 > 0:25:58loved ones and friends think it was the greatest gift as well.
0:26:02 > 0:26:04It's almost like a legacy.
0:26:06 > 0:26:08You know - we've left...
0:26:08 > 0:26:12HE'S left something great for someone else.
0:26:21 > 0:26:25In Pontardawe, Kim has made a difficult decision.
0:26:25 > 0:26:29She's waiting for an important call from Harefield Hospital.
0:26:29 > 0:26:31When I went in with that infection two weeks ago,
0:26:31 > 0:26:33it was the turning point.
0:26:33 > 0:26:36And it frightened me and I realised...
0:26:36 > 0:26:39I realised the mess I was in. I mean, I just...
0:26:39 > 0:26:41I don't know, it really did scare me.
0:26:43 > 0:26:45If I get a flu...
0:26:45 > 0:26:47If I get a flu, then I'm a goner.
0:26:47 > 0:26:49PHONE RINGS
0:26:49 > 0:26:50Here we go. Hello.
0:26:50 > 0:26:52Hello?
0:26:52 > 0:26:55- Hi, Tom. - 'How you doing?'
0:26:55 > 0:26:56Oh, still nervous.
0:26:58 > 0:26:59But I've got to bite the bullet.
0:27:00 > 0:27:02Yeah, it's time.
0:27:03 > 0:27:04Yeah.
0:27:05 > 0:27:08Yes, go on, then, please.
0:27:08 > 0:27:09Go live.
0:27:12 > 0:27:14Give them my number.
0:27:14 > 0:27:17So I'm now actually just gone live right now.
0:27:17 > 0:27:20Right. I know this is going to sound absolutely ridiculous,
0:27:20 > 0:27:21but I've just put fake tan on my arms.
0:27:21 > 0:27:25Will that be a problem if I get a call in the next 48 hours?
0:27:28 > 0:27:32There will be no problem, because I've only done my arms. My chest is actually white.
0:27:34 > 0:27:38Yeah, if I wear a vest, I'll look like Les Battersby off Coronation Street!
0:27:41 > 0:27:43All right.
0:27:43 > 0:27:46Kim's now live on the waiting list for a double lung transplant.
0:27:46 > 0:27:48OK. That's brilliant.
0:27:51 > 0:27:54Since the change in the law a year ago in Wales,
0:27:54 > 0:27:57there's already been a significant increase in consent
0:27:57 > 0:28:00for organs available to change lives.
0:28:32 > 0:28:33He is a hero.
0:28:35 > 0:28:37And we love him.
0:28:39 > 0:28:40I just hope she's proud.