WEBVTT

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(emotional music)

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♪ Someday ♪

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♪ The wind will change ♪

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♪ And you will see me ♪

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♪ Clearly ♪

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♪ Maybe ♪

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<v ->The main purpose of the mission is to deliver care</v>

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into areas where the care is substandard or unavailable.

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♪ Around me ♪

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♪ Lately ♪

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(foreign language)

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♪ My music has a different sound to show me ♪

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Every single burn, gasoline, gasoline, gasoline

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or cooking oil.

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<v ->This year,</v>

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this trip I would say is the most

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ambitious mission we've done up to now.

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<v Male Doctor>We're being very cost conscious here,</v>

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because whatever we brought with us, that's it.

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You don't have access to all the other things

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<v ->But even this thumb is not normal.</v>

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It's smaller than the other side.

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And if you look at it, it's deviated in a direction.

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Instead of coming straight up,

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it's actually deviated in a direction

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that it probably shouldn't be going in.

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(ventilator hissing)

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<v ->Plastic surgery happens to be one of those unique</v>

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specialties that has a lot of potential

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in the international health community.

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Because what we do is very portable.

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We can fix a cleft lip and pallet with,

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a small amount of equipment and supplies,

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but that portability makes it ideal

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for us to go and help people around the world.

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<v ->He was injured with a firearm.</v>

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That was doing nothing.

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<v ->One, two, three.</v>

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<v ->This is probably the worst thing</v>

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that he could have is that,

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he's probably gonna get an amputation of his finger.

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<v ->We'll explain to him the bone was dead.</v>

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It wasn't gonna heal.

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<v ->An Echis snake bit him like this</v>

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with fangs on both sides.

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<v Woman>Where was it?</v>

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<v ->Breathe.</v>

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(hollering excitedly)

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<v ->Yes.</v>

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He's down,

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cord's around the neck.

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He's failing to take a breath.

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<v Male Doctor>One?</v>

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<v Female Doctor>One, yep.</v>

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C'mon. C'mon.

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C'mon, c'mon, c'mon.

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<v Woman>Yeah, I told you-.</v>

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<v ->Aw, he's so cute.</v>

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<v ->You know who to talk to.
(child laughs)</v>

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Okay.

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<v Woman>(indistinct) She's going to be a doctor.</v>

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<v ->Put a little skin graft in there,</v>

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and then that's all we're gonna do today.

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And that's ketamine.

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(people laughing)

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<v ->There is a lot of flash burns,</v>

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because when they make fires at home,

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or even sometimes for cooking or cleaning,

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they have very flammable solvents.

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A lot of these homes are very, very sparse and humble,

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and the cooking stove is not a stove,

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it's a portable range with a propane tank

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or some contraption like that.

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So children get burned,

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people get burned, people fall and so forth.

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(emotional music)

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<v ->Matilda is a lady in her forties who looks much older.</v>

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I think she has four children,

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if I recall correctly.

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She had a burn injury,

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to her neck as well as her chest.

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And as a result of what is very commonly found here,

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which are the sort of gasoline and cooking burns.

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The tank exploded and she fell on the fire,

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on the burning fire.

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She didn't have the money to go to get the surgery.

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(foreign language)

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That was about two years ago.

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So she's been dealing with this for two years.

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(foreign language)

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(laughs)

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<v ->I like what he did.</v>

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<v ->One, two.</v>

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<v ->Okay.</v>

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(foreign language)

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<v ->What we'd like to do is keep her</v>

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spontaneously breathing.

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We're not gonna paralyze her.

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Worst case scenario,

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if we can't secure the airway,

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she's still breathing.

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We can do this with a mask

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or we just call it a day.

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Nothing lost.

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<v Man>Right now they're just looking.</v>

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She's breathing on her own.

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They've got stable vital signs.

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<v ->The rest is easy.</v>

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That's the hard part.

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<v ->Yay.</v>

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(people clapping)

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<v ->Good job.</v>

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<v ->Good job, Dr. Chow.</v>

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Good job.

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<v ->You have to get all the way down to the level</v>

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of very close to the voice box and larynx

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and a lot of very important structures are there.

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So, it's a little dicey,

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slow, careful,

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methodical, meticulous dissection,

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where you excise the bad tissue,

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and you leave the good tissue behind.

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These people are quite healthy.

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A part of the skin-

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(machine whirring)

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in a very inconspicuous way.

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They heal very fast.

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We have it nicely laid out,

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and once she extends the neck,

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this is going to,

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it still needs to be touched up and refined,

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but this is gonna stick down and be her new skin neck.

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The minute we excise the scar,

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and we move the neck up,

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immediately they saw that she was breathing better.

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There were fireworks all around.

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We had a nice moment.

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We held hands and we waited for you.

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Like putting a rug down on the floor.

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You don't want any room underneath.

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And if you glue it,

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then imagine putting a lot of furniture on top,

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so the rug won't move.

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<v ->We don't wanna underestimate</v>

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the danger.

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It's still the takeoff and landing,

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if they're coming in for a landing,

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the difference from the takeoff,

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is they can now put her chin up and extend her neck.

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<v Man>See she's breathing on her own.</v>

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She's swallowing,

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showing signs of coming through anesthesia.

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She's got positive mist in the mask.

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She's moving good air.

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We'll just let her wake up here.

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Interestingly, when you talked to her

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and you asked her what she wished for,

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which is the question I've always asked is.

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You know, she didn't say, "I wanna wear a T-shirt,

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or I want to wear a turtleneck,

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or I want to have a tank top."

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She said, "I wanna be able to see my children play."

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'Cause she can't.

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She's always walking like this.

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<v ->How's it doing, guys?</v>

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(speaking foreign language)

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It's perfect.

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(people clapping)

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(solemn music)

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(solemn music continues)

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<v ->If somebody doesn't do what we do,</v>

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(clears throat)

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just a whole lot of people go uncared for.

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And without that care

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those doors don't open,

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words get not spoken.

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Emotions don't get expressed,

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places don't get visited,

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soccer games don't get played,

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shoes don't get bought,

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'cause they don't fit.

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Children don't blossom.

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We did that a thousand times.

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(solemn music continues)