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© ATOM 2017

A STUDY GUIDE BY KATY MARRINER

http://www.metromagazine.com.au

ISBN: 978-1-76061-020-3 http://theeducationshop.com.au

9 x 22min
Series Run
Time

++ MIRACLE HOSPITAL
Miracle Hospital is a nine-part documentary series about the
provision of innovative and life-saving health care at St Vincent’s
Hospital in Melbourne and Sydney. The series offers real-life, high-
stakes emotional storytelling mixed with cutting edge science and
technology and a cast of brilliant, charismatic medical specialists.

CONTENT HYPERLINKS EPISODES:

3 CURRICULUM LINKS
3 KEY CREATIVES
1 2 3
4 SYNOPSIS
4 EPISODE SYNOPSES
4 5 6
5 PROGRAM MAKERS’ PERSONAL
STATEMENTS 7 8 9
6 ST VINCENT’S HOSPITAL
MELBOURNE 25 RESEARCH PROJECTS
6 ST VINCENT’S HOSPITAL SYDNEY 26 APPENDIX 1: GLOSSARY
6 THE MAKING OF MIRACLE 27 APPENDIX 2: COMPARATIVE
VIEWING CHART
© ATOM 2017

HOSPITAL
7 MIRACLE HOSPITAL 30 APPENDIX 3: FOCUS ON MEDICAL
TECHNOLOGY
2

++ CURRICULUM LINKS
This study guide to accompany Miracle Hospital has The activities featured in this study guide promote
been written for secondary students at all year levels. student engagement and active participation via indi-
It provides information and suggestions for learning vidual reflection, class discussions, and small group
activities in Physical, Personal and Social Learning, work. Multiple activities are provided to allow teach-
Science and curriculum projects exploring the series’ ers to select those that will best suit the demands
key ideas at Years 7 – 10. For students in Years 11 and of the subject and the needs of the students. Each
12, the series is relevant to areas of study in Biology of the nine episodes can be viewed as stand-alone
and Health and Human Development. Students programs. The synopses for each episode provide
undertaking vocational education courses and tertiary information about the content covered and links
courses in Health Science may also benefit from view- between episodes are identified at the end of each
ing the series. Teachers are advised to consult the patient story.
Australian Curriculum online at http://www.australian-
curriculum.edu.au/ and curriculum outlines relevant to In completing the tasks, students will have demon-
their state or territory for more specific information. strated the ability to:

Miracle Hospital documents how science and technol- - respond to a documentary series both personally
ogy are revolutionising health care in Australia. As a and in detached and critical ways;
curriculum resource, the series expands and enriches - identify how innovations in science and technology
students’ understanding of how advances in science are improving health care;
and technology can affect people’s lives. Miracle - discuss the social and ethical values of trialing
Hospital tells the personal stories of the patients and new medical treatments and technology;
their families. Teachers are encouraged to use the - discuss the relationship between health and
series to initiate discussions about universal themes. wellbeing;
Through the work of the health professionals and other - research emerging medical technology and evalu-
experts, Miracle Hospital establishes and explores ate its impact on the future treatment of ill-health;
science and technology as human endeavours. The - use their own written and spoken texts to explore
series provides information about and examples of the concepts and ideas and to clarify their own and
role that hospitals, specialists and specialist teams others’ understanding.
play in health care, as well as highlighting the place of
hospitals and hospital staff in advancing the treatment Teachers are advised to preview Miracle Hospital prior
of injuries and diseases through research and clinical to use in the classroom. The program contains graphic
trials. images of medical procedures. For some students
in the class certain stories may be confronting
and upsetting. Teachers need to respect the
circumstances of these students and remain aware of
their sensitivities.

++ Key Creatives
Production Company: The Feds – http://www.thefeds.com.au
Series Director: Julia Peters
Series Producer: Jenni Wilks
Executive producers: Michael Cook, Lizzy Nash & Julia Peters
© ATOM 2017

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and Mavia undergoes Deep Brain Stimulation to heart pump. ++ EPISODE SYNOPSES Episode 1 Episode 6 Amy and Rodney Ana and Ian Amy. In every procedures every day. Margaret has shoulder cartilage cancer removed and a be- spoke 3D printed titanium prosthesis implanted. allows the audience surgeries. to 90 per cent of his bones. will keep a donor heart alive long enough for surgeons to get his damaged Episode 4 heart out. surgeons have allowed unprecedented access to their busy operating theatres and consulting rooms to give The series intersects the human stories with real-life the viewer an immersive experience that shows life inside examples of how the technology is changing and saving these two leading specialist hospitals. the specialist medical 1959. Bill and Melissa Episode 9 Bill has end-stage heart failure and will die without urgent Peter and Andrew treatment. a mother of two young children. case. which means he doesn’t have to have Margaret and Ben open-heart surgery. treatments so he opts to be part of a new stem cell transplant trial. and Barbara has revolutionary radioisotope trial of Lutetium PSMA. which has spread between having his leg amputated or a titanium replace. nerves “zapped” to reduce his dangerously high blood pressure. Ian is immersed in a virtual 3D world. St Vincent’s Hospital has become world renowned teams and the research and technology behind the treat- for its ground breaking medical research and cutting edge ments. He takes the option of a new ment of his entire femur. where elite specialist teams use the very latest science Every episode features two different stories each show- and technology to perform groundbreaking and life-saving casing new innovative surgeries or treatments.++ SYNOPSIS Since performing one of the first open heart surgeries in lives. through his own brain” to improve his rehab. Twenty-four-year-old stroke victim comes one of only a handful of people to have a life-threat. 4 . To save his life he has a rare double heart pump implanted. new stop the extreme tremors caused by Parkinson’s Disease. has to choose Joseph has end-stage prostate cancer. and finally some donor lungs brain surgery to control epileptic seizures and Rodney be. Teenage © ATOM 2017 elite downhill skier Ben has his anterior cruciate ligament repaired with a live donor hamstring from his father. have become available. the scenes at St Vincent’s. Melissa has multiple uterine fibroids removed Peter’s Multiple Sclerosis is not responding to regular with a robotic surgical system. at the forefront of medical science the condition playing out alongside the specialist teams as and innovation. Following the patient’s story. who is in hospital with bone cancer. undergoes ‘awake’ Ana’s lungs are full of cysts. The focus is on the patients. Andrew has his leaky mitral valve replaced Episode 5 with a new device. Episode 2 Episode 7 Harry and Barbara Joseph and Phillip Harry. After a few failed hopes at a transplant. Phillip has his renal surgery with LASER mapping to cure her lymphedema. where he “walks ening aortic aneurysm repaired with a new form of stent. technology known as “heart in a box”. It is one of the most technologically advanced to see the journey from all sides with the human impact of hospitals in the world. in Sydney and Melbourne. Episode 3 Peter and Mavia Episode 8 Dwight Peter’s neurodegenerative spine is causing him such intense pain he risks cutting-edge spinal surgery to Dwight has cardiomyopathy and is being kept alive by a alleviate it. Miracle Hospital takes its audience behind they determine the best treatment possible.

and procedures. was simply an honor. Working with such a talented cated by telling their stories as well as possible. The application of this incredible technology fertile ground for a television series! And a series that could would only be important and relevant and if we considered showcase Australian innovation! the enormity of what it could do for everyday people. Series Producer 5 . © ATOM 2017 Julia Peters. supportive and enthusiastic ensuring we had whatever was depth of knowledge. The ensuing partners. The level of dedication. team of professionals has been very rewarding and I am extremely proud of what we have achieved. skills in research and innovation and needed to create Miracle Hospital. medical documentary. we approached and courteously “tag a long” for the medical journey with National Geographic to be our broadcast partner. commitment. and It has been a wonderfully uplifting and fulfilling experience a responsibility to ensure their gesture of trust was recipro- to guide this production. Further research revealed the depth and breadth of their innovation – they are truly at the frontier of It was intended from the start that our stories intersect with medical research and world leaders in many areas. Screen Australia and Screen NSW. This meant that as a team we needed to sensitively After many months of development. for you and me. To work closely with the extraordinary doctors and medi- cal staff at St Vincent’s Hospitals in Sydney and Melbourne All the staff at St Vincent’s were incredibly generous. I had a relationship with St Vincent’s through another program I produced and saw Looking at the future of medicine through emerging tech- first-hand the amazing work they were doing as a result of nology was a unique approach to a medical observational their commitment to research and trialing new treatments documentary. Executive Producer Jenni Wilks. What humanity. Without this support the clinical applications of their work was motivation for us along with the patient’s generosity we would not have been to showcase their work in the most engaging way possible able to make this series. relationships with the patients and families who decided to participate in the documentary I found a great pleasure. to ensure the series attracts the audience it deserves. Happily.++ PROGRAM MAKERS’ PERSONAL STATEMENTS As a former nurse with an ongoing interest in health and Coming from a medical family I have always had an inter. the patients who generously agreed to be filmed on what they immediately saw the potential along with our other was often the most terrifying time in their life. possible due to technology. I was thrilled to be asked to series est in medicine and the advancements in treatment now produce Miracle Hospital.

The most important factor in producing this series was to deavours are supported by a significant investment have good access to the doctors and patients throughout in teaching and research both within our facilities their journey. St Vincent’s Hospital Melbourne operates from 15 sites with over 900 beds.org. orthopedics. respiratory medicine. Initially. cardiac and cancer services. as well as aged care.au/home their time and would talk us through the operations as they happened. in order to sell the concept to a broadcaster. I filmed a “sizzle” at St Vincent’s in Sydney. AIDS/HIV. St Vincent’s hospitals in both Sydney care for all patients. entail. the twelfth largest private company in Australia. The hospital’s public relations managers were also Co-located with St Vincent’s is Sacred Heart Health instrumental in getting the doctor’s onboard and helping us Service – one of Australia’s largest and leading throughout the filming period.au/home ++ ST VINCENT’S HOSPITAL SYDNEY St Vincent’s Hospital is a principal referral and ter- tiary. their families and carers and and Melbourne were very helpful in facilitating our produc- the communities we serve. And the doctors who willingly opened the theatres to our cameras were incredibly generous with © ATOM 2017 Recommended link: https://svhs. Our core values are compassion. nerable of times in people’s lives.++ ST VINCENT’S HOSPITAL MELBOURNE St Vincent’s Hospital Melbourne is a major Catholic teaching and research hospital providing compas- sionate health care to almost 200. I wanted to showcase units that are internationally recognised as centres the innovation and technology that they are renowned of excellence. the Hospital provides significant training show the main doctors who we hoped would participate in and research activities housing several specialty the series what the show was about. The Hospital’s en. The hospital is part of St Vincent’s Health Australia. as I was able to Australia. tion requirements. six-thousand staff and an annual budget of $620m. I then met with the key doc- ogy. All of our staff at St Vincent’s Hospital strive to deliver the highest qual- ity of patient care and we are committed to continu- ing the Mission of our founding Sisters of Charity ++ THE MAKING OF in service of the poor and disadvantaged across all services. hoped to capture and why. public teaching hospital. St Vincent’s has a vibrant research program that drives innovation in clinical care. they allowed us to docu- ated research institutes. MIRACLE HOSPITAL integrity and excellence and through our Mission we are committed to justice and compassionate From the outset. Recommended link: https://svhm. ment their story. correctional health and dialysis satellite centres. We felt very privileged that at the most vul- but also in partnership with universities and affili. It offers complex diagnostic services and a number of key specialties including neurosci9ences. justice. Part of the NSW-based arm of St Vincent’s Health This five-minute video proved invaluable. tors to discuss the series aims and what filming would mental health and drug and alcohol services. primary care. for so it was important to explain the types of stories we plantation. bone marrow transplantation. These include heart and lung trans.000 patients a year. and produced almost 800 publications in 2015. 6 . cancer care. palliative care and rehabilitation providers offering inpatient and outpatient services. cardiol.org.

emotional moments requires experience and good judge- ment. Both small team and small cameras around the hospital to keep Melbourne and Sydney teams had a small base within the impact of their presence in the sensitive environment to the hospitals from which they lined up stories and film. which works ex- tremely well and adds to the drama and authenticity. Intensive care units and to their operating theatres. As the stories were being filmed our post-production team educate. Finding the right bal- ance editorially between the patient and doctor’s journey – Jenni Wilks. and the patients we were following was of key importance doctors and operations don’t wait for film crews! as it enabled us to anticipate what was happening. More often than not a few Building rapport and good relationships with hospital staff stories would be running at the same time. provide hope and entertain its audience. express their opinions of the medical treatments and technologies that are now available to treat serious – Julia Peters. ++ MIRACLE HOSPITAL We were able to achieve no narration. And it propriate times to film during difficult and often extremely was that access that delivered the stories. For the patients featured in Miracle Hospital. sound recordist and an associate producer/researcher. were crafting the episodes in editing. The more inconsequential we could appear to ing. it’s happen. inspire. and then follow the story to completion. it is life-saving. to their of patient’s (and family’s) lives. tain permissions from the doctors and patients. The teams were supported and man- Once production started. our team embedded themselves at the hospital. • Why is this series called Miracle Hospital? 7 . There is no waiting • Why do many of the series’ participants liken while we change a lens or rethink a camera position when the medical technologies and treatments to a the action is happening … when it’s happening. their families and the health professionals would not have been possible. Filming in hospitals is hard. gauging the right and ap. Professors and surgeons do not have any spare time. Hospital take note of those moments when the patients and families who without their trust this series patients. The patients and the day-to-day • What is a miracle? hospital business take absolute priority. This enabled them to be incredibly agile. It was important to have a the researchers and production teams in the field. the work of the health professionals at St Vincent’s To make a program like this requires enormous team-work Hospitals in Melbourne and Sydney is not only life and dedication. Series Producer and the technology was in itself challenging. miracle? © ATOM 2017 ing! There are no second chances to capture key moments. documentary series. At each hospital location we had small teams of three. This unfortunately happened and filmmaking became the foundation of this important twice during our filming. as they were on the spot with cameras to capture key story mo- ments as they happened. it was a 24/7 proposition for aged by the Series Producer. Asking for some time to film at the top or tail of a surgeons already unbe- lievably busy day often meant 4 – 5am crew calls for our team. I feel privileged to have been given such changing. ing stories in a true observational documentary style. a shooter/producer. Logistically this series was complicated and required the hospital staff the more chance of following the unfold- unique skills to firstly identify the potential stories then ob. a minimum. Unfortunately. And when the crew would wrap ten hours later the surgeons would often still be operating! To ensure we were close to the action and built relation- ships with staff. As you watch Miracle amazing access within the hospitals and to the doctors. who were on the frontline coming in and out our privileged access of the hospitals involved. Arranging time with them for interviews can unravel the best of coordinators and researchers. and therefore plan filming of the key story steps. Added to this was my decision not to have narration. A series showcasing the advances and innovation in technology and medicine that will inform. Executive Producer health concerns. It is also very hard for the crews when someone they This relationship between the divergent worlds of medicine are following doesn’t make it. It also secured For the crew. which caused many headaches both in the field and in the edit room.

focus hospital: St Vincent’s Hospital. He believes that if the location of seizure onset is identified then it may be possible to perform a resection of this area of the brain and stop the seizures from occurring. linked • How is Amy’s condition usually treated? story: Episode 3 – Mavia and Episode 7 . Director of Neurosurgery. Simon. research. will open Amy’s skull. she can go through anything. and Associate Professor Michael Murphy. • Amy’s husband Simon reflects. Draw and annotate a diagram of the brain to support your explanation. I want to just be a normal person. Melbourne.Phillip. she’s really hopeful it will all work out. just fantastic and that makes everything worthwhile. • Professor Mark Cook: I think Amy’s doing really well. Amy’s neurologist is Professor Mark Cook. Especially if you can condition worsening she is now experiencing really see that it has changed their life. She understands completely I think what it involves. AMY • Is the medical intervention a success? How is Amy’s quality of life changed by the intervention? Amy. so I think she’s in the best position she could be in. He has treated Amy’s epilepsy since she was a teenager. Professor Mark Cook: She really needs this to work. • What is neurology? • How do Director of Neurosurgery. Story partvicipants: Amy. Associate Professor Michael Murphy: Each time we do Key terms used in this episode include: this there is the sensation that you’re going to be able - Dura - Seizure to turn around a person’s life. Associate Professor Michael Murphy and Professor Mark Cook technology © ATOM 2017 use medical technology to treat Amy’s uncontrolled epilepsy? 8 . Associate Professor Michael Murphy. • Amy’s condition is known as uncontrolled epilepsy. and What does Amy’s story reveal about resilience? just not have the kids having to deal with seeing mum different to other mums. Your objectives • Why is epilepsy research important? Write a letter to are to inform and raise awareness of this condition for the editor that argues for increased funding of epilepsy your selected audience. Professor How is Amy’s condition impacting on her quality of life? Mark Cook. ‘She can go through What are the characteristics of uncontrolled epilepsy? this. a thirty-five-year-old mother of two • Professor Mark Cook: It’s the best part of my job. I mean that’s up to ten grand mal seizures a day. With her has impacted their life in this way. What are the risks of the procedures? Explain Amy’s willingness to commit to the procedures despite the risks. - Electrode - Subdural grid Professor Cook and his associates are the only neurol- - Epilepsy - Resection ogy team in the world treating epilepsy in this unique - Neurology way. How does the neurology team respond to the challenges and complications presented by the proce- dures? What precautions do they take to minimise the risks of the procedures? Awake surgery is completed to resection the area of Amy’s ++ EPISODE 1 brain where the seizures are coming from. Explain the importance of the work of the St Vincent’s • What is epilepsy? neurology team. get- young children.’ • Amy: What I’m looking for – a more simple life. lift the dura and place a subdural grid of electrodes on the surface of her brain to monitor her seizures. has been battling uncontrolled ting people through epilepsy surgery like this where it epilepsy for most of her adult life. Design an infographic about epilepsy. how she’ll feel and the risks involved. Amy is only the third person in the world to have this precise procedure.

We just need to learn to repair Rodney’s aneurysm with a new form of stent – an about how it behaves. List the risks of this type of surgery. comment The surgery required to repair the aneurysm is minimally in. vasive but it is not without risks. He’s a very competent surgeon so I’m happy. RODNEY After having a chest CT scan for what he thought was “a cold that wouldn’t go away”. focus hospital: St Vincent’s Hospital. • Why does Rodney use the metaphor “a ticking time story participants: Rodney and Associate Professor bomb” to describe his medical condition? What does Ravi Huilgol . Professor Huilgol has used the Nellix stent. it doesn’t repairs. on how surgery teamwork is crucial to patient care. What does Rodney’s comment suggest about the sig- nificance of the doctor-patient relationship? • Associate Professor Ravi Huilgol: We used a new tech- nology device in a way that I hadn’t used it before and I think his case is probably a turning point for me in terms of understanding how to use it effectively for a variety of different ways we’re going to use it in the future. and Rodney will most certainly die. • What is an abdominal aortic aneurysm? Draw and an- notate a diagram to support your explanation. What are the outcomes of Rodney’s surgery? © ATOM 2017 9 . Rodney’s case is only the sixth time that Associate bother me. good long future. Rodney: Having this new stent is a great privilege and I think it’s a modern miracle. Left untreated the aneurysm will most likely rupture. linked story: Episode 4 – Bill. What stent that will be used in the treatment of Rodney’s practices do Associate Professor Huilgol and his team condition regarded as cutting edge technology? implement to achieve this precision? Drawing on the footage of Rodney’s surgery. • What is a stent? How does it work? Why is the Nellix Precision is crucial in this type of surgery. things are important about getting it exactly right. Rodney’s diagnosis suggest about the importance of regular health checks? • Associate Professor Ravi Huilgol: We’ve done five cases Vascular surgeon Associate Professor Ravi Huilgol plans already with the new technology. seventy-one- year-old Rodney’s radiologist informed him that he had a very large abdominal aortic aneurysm. what the doctors can do to- day is fantastic. Now I’ve been given a second chance and I can look forward to a nice. While Associate Professor • Rodney: It’s a fairly new procedure but somebody’s got Huilgol has performed thousands of aortic aneurism to be there to have it done so I don’t mind. Sydney. Key terms used in this episode include: - Abdominal aortic - Iliac artery aneurysm - Polymer - Angiogram - Stent - Endograft • What is a CT scan? Draw a three-panel captioned il- lustration to explain how a CT scan works. how it deploys and what technical endograft that incorporates a polymer bag.

They really are our beacons of what we vances of science. Harry’s pastor. To be able to offer him the ad. That’s why we’re here. a solution that allows him to spare his leg is immensely What does Harry’s story reveal about courage? rewarding. encourage us. not only for Harry but also for someone like me in my position to offer solutions like this. He now has to choose between a titanium replacement of his entire femur or a full leg amputation. technology and engineering to give should be doing. Harry being as courageous as he is. it can’t help but putating a leg like this. Melbourne. • What is titanium? Why is titanium metal used in bone What are the outcomes of Harry’s surgery? and joint replacement surgery? • Professor Peter Choong: When you see people like • Professor Peter Choong: In the past we would be am. Harry’s femur has not been able to heal due to the presence of a large tumor and scans now show that the cancer in his femur has spread to his lungs. In the nology and if we can just bring these to our patients it second panel show the structure and function of the allows us to feel that we’re actually achieving some- titanium femur. The operation will not save sented by the surgery? Harry’s life. focus hospital: St Vincent’s Hospital. Professor Peter Choong: Cancer surgery has to be one of the most rewarding things I could ever do. Harry’s parents. Limb saving surgery is the best option. Professor Peter Choong: Exactly. In the first panel supported by science and we are supported by tech- show the structure and function of the femur. treatment for Harry. We are • Draw a two panel annotated diagram. How will Professor Choong use medical technology to treat Harry’s fractured femur? Professor Peter Choong: What is the most important thing to you? Harry: My life. again. The femur Choong and his team of specialists consider the best resection is a three to four hour surgical procedure. but hopefully it will give him the ability to walk • Harry: Walking is definitely a good feeling. Key terms used in this episode include: - Femur - Prosthesis - Orthopedics - Titanium - Osteosarcoma • What is bone cancer? How is it usually treated? • How is Harry’s ill-health impacting on his quality of life? • What does the footage of Harry interacting with his par. 10 . What are the risks of the surgery? How do Professor Harry’s femur will be completely removed and replaced Choong and his team respond to the challenges pre- with a titanium prosthesis. The purpose of the operation is actually to give you a leg that works better than it does now. thing for them.++ EPISODE 2 HARRY Thirty-five-year-old Harry has been in hospital for five months with a fractured femur caused by osteosarcoma – a rare bone cancer. It will not affect your survival. story participants: Harry. Professor Peter • Total femoral replacements are not common. linked story: © ATOM 2017 Episode 5 – Margaret and Episode 7 – Joseph. What does this consultation between doctor and pa- ents suggest about the importance of patient support? tient reveal about the significance of the doctor-patient relationship? St Vincent’s Director of Orthopedics. and Professor Peter Choong.

Ten months later. chronic pain and swelling in her upper arm • Doctor Ramin Shayan: This is the aim of plastic sur- caused by a condition known as lymphedema. she developed List the challenges and risks associated with Barbara’s surgery. Three years ago. involving microsurgery particularly with lymphedema. It’s been incredibly rewarding for me and the whole team to be able to use our research to develop these techniques to help the patients who otherwise would not have a hope of beating this condition. focus hospital: St Vincent’s Hospital. • Doctor Ramin Shayan: St Vincent’s has traditionally tion that describes the structure and function of the taken a lead in the world on these types of diseases lymphatic system. tient’s whole life as well. a plastic and reconstructive surgeon who recommends microsurgery. Melbourne. chemotherapy. • What is microsurgery? • Doctor Ramin Shayan: What we have developed is a unique method of combining existing treatments including high resolution MRI scans with laser guided lymphatic mapping. linked story: Episode 4 – Melissa. reconstructing not just the patient but the pa- an obstruction in the lymphatic system. - Lymph nodes - Microsurgery Is the surgery a success? How is Barbara’s health and wellbeing changed by the surgery? • What is the lymphatic system? Make a short anima. How is lymphedema usually treated? How does Doctor Shayan intend to use medical technology to treat Barbara’s lymphedema? Why are these surgical proce- © ATOM 2017 dures regarded as revolutionary? • Doctor Ramin Shayan: We don’t know if we will be 11 . gery. What does this statement suggest about the way that Key terms used in this episode include: Doctor Ramin Shayan views his profession? - Laser guided lymphatic - Lymphatic system • Doctor Ramin Shayan: Have we had a win? mapping - Lymphedema Barbara: We’ve had more than a win. She ultimately successful and that’s the bit that is a bit had surgery to remove some of the lymph frustrating It’s pretty slow going and there’s no prize for nodes under her arm as well as radiation and rushing unfortunately. story participants: Barbara. life? What role do hospitals both public and private play in medical research? Barbara seeks medical advice from Doctor Ramin Shayan. • What is lymphedema? We’re happy to be in a position where we’re up there • How is lymphedema impacting on Barbara’s quality of leading the world. sixty-two-year-old Barbara was diagnosed with breast cancer. Dennis. and Doctor BARBARA Ramin Shayan .

to correct his spine. precisely tailor Peter’s operation in order to return his spine to a neutral position. in fact a lot worse. It progressively got worse. Now I’ve got my mobility back and I’ve got my ability to do a whole range of things with them that I could not otherwise have done. In the first panel show the structure and function of the human spine. I was starting to get pain in the lower body. Draw a two panel annotated diagram. Sydney. Doctor Winder’s © ATOM 2017 plans to use state-of-the-art pre-operative and intra- operative planning software systems that will allow him to 12 . What is the difference between pain and chronic pain? How is Peter’s condition impacting on his quality of life? Peter decides to undertake spinal surgery. So the spine effectively is just crumbling. and Doctor Mark Winder. Peter’s pain is described as chronic pain. • Peter: I first realised that I had the condition probably three years ago. You’re in con- trol about what is happening. So it fills PETER me with a great deal of enthusiasm and thirst for life. it’s collapsed down. will continue to deteriorate rapidly and that he will be unable to walk in five years time. What are the outcomes of the surgery? Sydney resident Peter has been living with chronic pain for the past three years caused by a neurodegenerative spine. linked story: Episode 6 – Ian. St Vincent’s neurosurgeon and spine surgeon Doctor Mark Winder has diagnosed that without an operation focus hospital: St Vincent’s Hospital. Quinn. Key terms used in this episode include: - Alignment - Neurodegenerative - Angulation - Pre-operative - Graft - Resection - Intra-operative • Doctor Mark Winder: Peter suffers degenerative kyphoscoliosis which means his spine has worn out. that Peter’s alignment story participants: Peter. • Doctor Mark Winder: Spine surgery has the ability now to be able to give back the quality of life rather than just see what could be a very fruitful life deteriorate quickly. you already know what it is that you’re going to be doing. Does the spinal surgery pose any risks? How do Doctor Winder and his team achieve the precision es- sential to this type of surgery? • Peter: I’ve gone through this so I can spend more time ++ EPISODE 3 with my children. In the second panel show the structure and function of a neurodegenerative spine. Anika. is when I’m operating. It’s shifting forward. How was Peter’s condition treated in the past? How will Doctor Mark Winder use new medical technol- ogy to treat Peter’s condition? • Doctor Mark Winder: The most relaxing part of my job. without question.

And that’s what this is about. My quality of life has dramatically im- proved. her only real hope to be able to live a normal life is to undergo Deep Brain Stimulation – a process where electrodes are inserted into a very precise area within her brain. and shedding all those restrictions and shedding the shackles of too much medication. MAVIA Mavia was diagnosed with Parkinson’s Disease eleven years ago. How are Mavia’s health and wellbeing improved by the treatment? • What does Margaret’s gift of a quilt to Doctor Thevathasan suggest about the patient-doctor relationship? • Doctor Wesley Thevathasan: Deep Brain Stimulation is not perfect. Key terms used in this episode include: • What is an MRI? What is a CT scan? Explain how the - Deep Brain Stimulation - Neuron scans are used to improve the efficacy of Mavia’s - Electrode - Parkinson’s Disease surgery? - Neurology Why is it necessary for Mavia to be awake during surgery? • What is Parkinson’s Disease? • What is subthalamic nucleus deep brain stimulation? Design an infographic about Parkinson’s Disease. Doctor Wesley Thevathasan: Clearly it’s opened up her whole horizon about what she can now do with her life. I even rode my pushbike own to the supermar- ket the other day and I haven’t rode the bike for years. It’s about improving quality of life. As the medication is no longer managing her tremors. neurosurgeon Doctor Kristian Bulluss perform an MRI and Explain Mavia’s willingness to undergo the procedure. 13 . • Mavia: Since the surgery I’ve been able to do a lot more sewing a lot more knitting. things that I enjoy doing. So I need some Consultant Neurologist Doctor Wesley Thevathasan and help to do that. which we think. Brian. a CT scan in the pre-operative stage of Mavia’s surgery. In recent years the medication she has been taking has been less effective and she now suffers such debilitating tremors she finds it difficult to walk or to carry out everyday tasks. and Dr Kristian Bulluss. Doctor Wesley Thevathasan. you know every three hours. so we are trying to improve that by devel- oping our own method. linked story: Episode 1 – Amy. © ATOM 2017 story participants: Mavia. From day one I haven’t had any tremors in my hands at all. and neurosurgeon Doctor Kristian Bulluss use medical • How is Mavia’s condition and the treatment of her con. is going to be a step above what’s currently being achieved. How will Mavia’s treatment be used to help other peo- ple who have Parkinson’s Disease? • Why is Parkinson’s Disease research important? Write a letter to the editor that argues for increased funding of Parkinson’s Disease research. Melbourne. focus hospital: St Vincent’s Hospital. technology to treat Mavia’s illness? dition impacting on her quality of life? • Mavia: I’d have to say I’m feeling a little bit nervous but I’ve got a lot more adventures to live. Your Make a slideshow to demonstrate how it works? How objectives are to inform and raise awareness of this do Consultant Neurologist Doctor Wesley Thevathasan condition for your selected audience.

I’m feeling. of his abdomen and legs. let’s get on with it. See you as a new man. What does Bill’s situation suggest about the impact that a serious illness has on a patient’s family? focus hospital: St Vincent’s Hospital. Draw a two panel annotated diagram. known as a biventricular assist device. If nothing is done to save him. • How has Bill’s condition been treated in the past? story participants: Bill. Sydney. So we have to do a few little Magyver type things to get it to fit in but it seems to work. • What is the six-minute walk test? How is it used to monitor Bill’s condition in the lead up to surgery? © ATOM 2017 • Doctor Paul Jansz: We’re about to put the second pump in. You’d really odema. his Episode 5 – Ben. so it’s all about Bill. He like to do as much as you can to get him through this is considered on the brink of multiple organ failure. he Jansz and his team respond to the challenges pre- may have less than a week to live. • How is Bill’s condition impacting on his quality of life? Use the internet to research heart transplants in • Arthur: It’s sort of hard seeing Dad who used to be a Australia. In the first panel show the structure and function of a healthy circulatory system. They’re not de- signed to pump into the lungs. to suddenly a very sort of frail little thing. It’s a risky operation and at the end of it he could be dead so. What are the outcomes of the operation? • What is cardiomyopathy? • Bill is placed on a waiting list for a heart transplant. thing. and Associate Professor Eugene Kotlyar. Doctor Paul Jansz. In the second panel show how the biventricular assist device will facilitate the function of Bill’s circula- tory system. should a suitable donor become available. What do these claims suggest about Bill’s willingness Key terms used in this episode include: to undergo the surgery and the commitment of his - Aorta - Cardiomyopathy medical team? - Biventricular assist - Cardiologist • Bill: I suppose my perspective on the importance of life device - Sternum has been very well focused for the last few months. so he can get on with the rest of his life. cardiologist Associate Professor Eugene Kotlyar recom- mends a rare life-saving operation to implant two mechani- cal heart pumps onto either side of his heart. Drawing on your research make an info- big strong man wielding a chainsaw in each arm type graphic about this subject. so this is all a little bit made up. Bill has been sented by the surgery? What role does the heart lung unwell for fifteen years due to cardiomyopathy. heart. and Episode 8 – Dwight. Your diagram should explain how Associate Professor Eugene Kotlyar and Doctor Paul Jansz have “Magyvered” the biventricular assist device? Why doesn’t the manufacturer approve of this modification? Why do Bill’s medical team forge ahead anyway? ++ EPISODE 4 • What is a pulse? Why won’t Bill have a pulse after the biventricular assist device is fitted? • Doctor Paul Jansz: I think if we didn’t do this he’d be BILL lucky to see the week out. a sixty-year-old retired business executive balancing risks. Episode 6 – Ana. And - Biventricular heart - Ventricle the longer I live and the more I benefit from the surgery in failure a funny sort of way the more precious it becomes. Bill’s family. machine play in the surgery? • Bill: I’m feeling lucky. or swelling. I’m feeling nervous. His heart is now working so ineffectively he is Associate Professor Eugene Kotlyar: Bill’s got a very breathless even at rest and has developed gross supportive family. which has recently led to biventricular heart failure. he’s got a lot to live for. Linked stories: Given how rapidly Bill’s health has been deteriorating. with end-stage heart failure is battling for his life What are the risks of the surgery? How do Doctor in hospital. they’re designed to pump into the body. Bill: I think it’s tougher on the family than it is on me. This is a critical step in alleviat- ing Bill’s suffering and to get him well enough to become a candidate for a heart transplant. Now this pump is not designed for this side of the 14 .

Melissa’s gynaecological oncologist Associate Professor Felix Chan believes he can preserve her fertility with the use of a robot assisted device which allows him to operate in a minimally invasive way. Lyn. 15 . that kind of tech- nology actually exists and what it can do for patient care. she faced the prospect of a hysterectomy. linked story: Episode 3 – Barbara. Key terms used in this episode include: - Gynaecology - Uterine fibroids - Hysterectomy - Uterus - Pelvis • What should women know about uterine fibroids and the treatment of uterine fibroids? • How is Melissa’s condition impacting on her quality of life? When Melissa discovered that the fibroids had re-grown. Working with a partner. • What is minimally invasive surgery? What are the ad- vantages of minimally invasive surgery? Are there any disadvantages? • Melissa: There is no guarantee I guess of fertility at the end of this but there’s a lot of doctors who wouldn’t even attempt to remove the fibroids and at this stage would be doing a hysterectomy. use the internet to research the use of robotic surgical systems in the treatment of another illness. MELISSA Thirty-seven-year-old Melissa hopes that removing her multiple uterine fibroids with the assistance of a robotic surgical system will preserve her uterus and surrounding organs and ultimately allow her the possibility of having a child. Associate Professor Chan is a robotics surgeon. Sydney. is just amazing. © ATOM 2017 story participants: Melissa. Use Google slides to present your findings. How does Associate Professor Chan use the robotic surgical system to treat Melissa’s condition? What does Melissa’s comment suggest about Associate Professor Chan’s commitment to patient care? How is this surgery improving women’s health? • What are the outcomes of the procedure? • Melissa: I think it’s just amazing that. focus hospital: St Vincent’s Hospital. So the fact that Doctor Chan is even willing to give me a chance regardless of what that chance is. and Associate Professor Felix Chan. Melissa has already had an operation to remove large uterine fibroids in 2009.

it’s always good when you achieve what you set out to do. Key terms used in this episode include: focus hospital: St Vincent’s Hospital. Margaret’s operation is a world first. Brian.”? • Professor Peter Choong: It was a good operation. Working with a partner. We did what we set out to do. And we found a extremely complicated as the tumour is growing forward little lump. use the internet to research the © ATOM 2017 use of 3D printing in the treatment of another injury or illness. linked story: Episode 2 – Harry. - Malignant - Titanium story participants: Margaret. How is technology used in the pre-operative stage of What does Margaret’s situation suggest about the im. it’s got rid of the cancer. Ella. We the growth and save her life. Melbourne. Use Google slides to present your findings. What are the outcomes of the operation? • Professor Peter Choong: What we are able to do these days with new technology is perhaps edge closer and closer towards rebuilding people as well as we can. • Margaret: I’ve just found out that I’ve got a tumor in my left shoulder.++ EPISODE 5 MARGARET Melbourne grandmother Margaret is devastated when she discovers she has a malignant tumour growing out of her shoulder blade. my kids. This type of tumour is generally resistant to chemotherapy and to radiotherapy. it saved my life and. The proposed operation is were treating it as a frozen shoulder. Rachel. the past? How is Margaret’s condition impacting on her quality Draw a two panel annotated diagram. I had a sore shoulder. It would cause a lot of symptoms for Margaret in terms of pain and distress. and - Tumour Aaron Pateras (RMIT University) . Margaret: It did. In the second panel show how the titanium prosthesis I’ve been through a lot and she’s always been there for will be fitted and how it will function. Professor Choong importance of regular health checks? proposes to cut out the growth and then rebuild her shoul- • What is a malignant tumour? How is it different from a der with a bespoke 3D printed titanium partial scapular benign tumour? replacement. In the first panel of life? show the structure and function of a healthy scapular. • Rachel: I’m used to mum always being the strong one. - Prosthesis - Scapular Professor Peter Choong. If there was no intervention the tumor would grow. directly into the line of major blood vessels to her arms as What does Margaret’s diagnosis suggest about the well as the nerves in her arm and hand. Margaret’s tumour is a cartilage tumour known as condrosesarcoma. • Margaret: Going into this surgery. my hope is that I’ll be able to get back to a normal life with my family with • How would Margaret’s condition have been treated in Brian. Robert Thompson (Anatomics). Why? Were you surprised? What does Professor Choong mean when he claims “Surgery is one of those fields where you have to have your guard up the whole time. Margaret’s treatment? pact that a serious illness has on a patient’s family? How is technology used in the operative stage of Margaret’s treatment? After a consultation with Professor Peter Choong. It’s quite large. 16 . Margaret Does the scapular replacement surgery pose any risks? finds out that surgery is the only treatment that can remove How do Professor Choong and his team achieve the precision essential to this type of surgery? • Professor Choong plays music in the operating theatre. my grandchildren. me and for her to be the sick one is a bit of a scary thing.

pioneered at St Vincent’s. • What are the outcomes of the transplant? How is Ben’s injury impacting on his quality of life? • Associate Professor Justin Roe: It gives me great pleasure to get these young athletes back on the sport- To repair the damaged ACL and give Ben the opportunity ing field after a devastating injury. BEN story participants: Ben. I’ve been skiing since I was two and it’s part of me. © ATOM 2017 17 . • What are the logistical challenges of the surgical proce- So if I couldn’t ski then there would be something miss. the surgery. • What is an anterior cruciate ligament? What is its func- tion in the human body? • Why does Associate Professor Justin Roe decide to • How common is Ben’s injury? How are ACL injuries treat Ben’s injury in this way? Why is Graham a suitable usually treated? donor? Explain Graham’s willingness to participate in • Ben: If I couldn’t ski again that. Edward. Sydney. and then see them pursue Olympics. to watch them come to continue to pursue his goal of competing in the 2022 through the rehab process. Roe proposes to replace the torn ligament with a graft Use this statement to discuss the importance of inno- taken from the hamstring of Ben’s father Graham. This vation in orthopedics. focus hospital: St Vincent’s Hospital. Episode 6 – Ana. in his knee while training on the slopes. orthopedic surgeon Associate Professor Justin their dreams is a wonderful thing. Like. and ruptured the anterior cruciate ligament (ACL) Episode 8 – Dwight. Sixteen-year-old elite downhill skier Ben has Linked stories: Episode 4 – Bill. and Associate Professor Justin Roe. that would be terrible. Key terms used in this episode include: - Anterior cruciate liga. involves two medical ment (ACL) - Suture teams working simultaneously in two operating theatres – - Dislocated - Tendon one to create a graft from the father’s hamstring and one to use that graft to repair the son’s anterior cruciate ligament. dure? Are there any risks? ing from my life and I don’t know how I would cope. - Graft procedure. Graham.

explain how cardiothoracic and transplant surgeon © ATOM 2017 Doctor Granger and the team involved in Ana’s surgery respond to these challenges. gram in Australia. even sometimes laying at night I wake up because I can’t breathe properly. I get emotional because I am super. • Explain how the success of Ana’s surgery can benefit other patients with pulmonary lymphangioleiomyomatosis. Ana has a rare form of lung big operation the fact that your phone goes off and it’s disease – pulmonary lymphangioleiomyomatosis your six-year-old on the phone who wants to talk about an issue with Lego or with the puppy dogs. • Doctor Emily Granger: I’m thrilled with the results that Ana’s got. and in Ana’s case. and Episode 8 – Dwight. story participants: Ana. super grateful. make breathing so operation. compile a class multimedia • Ana: I can’t remember what it feels to like actually take presentation that explores the issues associated with a deep breath and feel that my lungs are like full. 5 – Ben. *Teachers are advised to download the fact sheets and • What is pulmonary lymphangioleiomyomatosis? infographics to create a classroom display. It’s amazing. Ricardo. demands of being a surgeon? • What is organ donation? Key terms used in this episode include: Do you know someone who is an organ donor? Do you - Cardiothoracic lymphangioleiomyoma. identify the challenges. Only one or two opera- tions of this type are performed each year at St Vincent’s. In column 2.gov. In column 1. The activities related to organ Why does Ana take this risk? What do Doctor Emily donation have relevance to these stories. • Make a short animation that describes the structure Recommended link: http://www. know someone who has benefited from organ dona- - Perfused tosis tion? Who can be a donor? Does organ donation only - Pulmonary - Ventilate benefit the patient receiving the donor organ? Use the internet to research organ donation. and organ donation. Emilo. Ana: I feel fantastic. very thankful. Associate Professor Marshall Plit and • Doctor Emily Granger: It’s like everything if you set it up well it’s relatively easy. Make a poster that aims to raise people’s awareness about this program. responsibility for an issue. Episode There is a one in ten chance of something going wrong. Small groups of students should take you struggle with every move even like taking a shower. add to the audience’s understanding of the difficult she can no longer continue a normal life. – a condition where cysts take over the normal How does the footage of Doctor Granger after the lung tissue. Ana’s condition is rare. Claude. I just feel super grateful and very. Doctor Emily Granger. After waiting nine years for a lung transplant What does this episode reveal about the emotional forty-three-year-old Ana has been admitted to St impacts of donor transplant surgery? Vincent’s Hospital because a donor lung has finally • Doctor Emily Granger: Sometimes after doing a very become available.au/. Martha. Linked stories: Episode 4 – Bill. - Cultural - Legal - Political How is Ana’s lung disease impacting on her quality of - Economic - Medical - Religious life? - Ethical - Personal - Social • How is pulmonary lymphangioleiomyomatosis usually treated? Why is a lung transplant essential in Ana’s case? • Use the internet to research the lung transplant pro- focus hospital: St Vincent’s Hospital. Granger and her team do to minimise the risks? • Why is time of the essence in donor surgery? Make a two column list of the challenges of this type of surgery. A list of possible issues follows: even just sitting down. and function of the lungs. Sydney. What are the outcomes of the operation? ANA • Ana: Although I don’t know who the donor is. Three months ago I had the surgery and by now I can wake up and I can ++ EPISODE 6 take a shower and I can feel normal and I can feel alive. 18 .donatelife. • How does Doctor Granger use medical technology to treat Ana’s pulmonary lymphangioleiomyomatosis? Ana’s surgery is a very rare event. what are common lung diseas- es and how are they treated? Drawing on your research.

• Ian: Basically I had thirteen percent chance of survival. and what has happened to the neural pathways since. It’s brought a bit of closure to Ian’s case for us. The only thing I can’t do which watch?v=ELpfYCZa87g. focus hospital: St Vincent’s Hospital.com/ fully it’s all come back. story participants: Ian. So it’s possible • What is a brain hemorrhage? that keeping exercising. determination to learn to speak and walk again. IAN Taking the data from Ian’s brain scans immediately after his stroke. Recommended link: https://www. Rather than looking at it through a screen or a window into their data they can actually be inside their data. this is how I’ve got to do it and this tinue rehabilitation. a twenty-four-year-old man from Sydney 3D Visualisation Aesthetics Lab. couldn’t talk and thank. Learn about clinical trials in Australia online at https:// www. couldn’t move. sive technology - Rehabilitation What does Ian see on the ‘walk through his brain’? - Brain hemorrhage • Associate Professor Steven Faux: We don’t think there’s any end time to neuroplasticity. he went on to not only brain” and see what happened when the brain hemorrhage regain consciousness. and Associate Professor Steven Faux. Associate Professor Steven Faux has is where I’m going. is what I got to do. it’s just incred- How has rehabilitation improved Ian’s health and ible that it gives us this greater insight into what hap- wellbeing? pened. Sydney. I’m still working on is running. but through hard work and occurred. To our best knowledge we don’t know anyone else who is doing this in the world. Lisa. Director of Ian.- Neuroplasticity started but it was really cool. keeping improving your think- • What are the recovery rates for patients who have suf.gov. After being given only a thirteen a virtual 3D world which allows Ian to “walk through his per cent chance of survival.au/consumers/real-stories. at the University of New suffered a brain hemorrhage four years ago while South Wales and 3D artist John Bailey. linked story: Episode 3 – Peter.au/.gov. and hopefully to increase Ian’s motivation to con. *Teachers are encouraged to use the real stories to gen- erate further discussions of clinical trials: https://www. • Lisa: It was a bit frightening but I think it’s. You finally understand okay this brain. ing and your speech will continue to help those nerve fered a brain hemorrhage? cells make connections. What is neuroplasticity? I couldn’t walk. • Why does Associate Professor Faux believe 3D virtual 19 . Doctor John McGhee. Use the questions: Who? What? When? Where? Why? and How? to organise your fact sheet. Key terms used in this episode include: • Ian: To see inside my brain was kind of weird when it first - 3D virtual reality immer. I enjoyed the experience.australianclinicaltrials. Use the internet to research the medical applications of © ATOM 2017 3D virtual reality immersive technology. me even more to push myself to the limits. How does 3D virtual reality immersive technology work? List the “usual” applications of 3D virtual reality immer- sive technology. The way the brain makes new con- asked Ian to participate in a trial based on 3D virtual reality nections and forms different alliances has motivated immersive technology. australianclinicaltrials. reality immersive technology will enhance Ian’s recovery? • Why has Ian agreed to the trial? What are clinical trials? Compile a fact sheet about clinical trials. Ian: Seeing that 3D visualisation a few months ago To increase Ian’s understanding of what happened in his filled in all the blanks. the team create playing soccer.youtube. What are the outcomes of Ian’s ‘walk through his brain’? • Doctor John McGhee: So what the technology provides is a whole new platform. and working with Doctor John McGhee.

fourteen of which will What are the risks of Lutetium PSMA treatment? How be St Vincent’s patients. therapy. Thank God for a few more days! What are the outcomes of the trial for Joseph? What are the outcomes of the trial for the other patients involved? How may the results change the treatment of prostate cancer? • Associate Professor Louise Emmett: Joe’s so sick and he’s got such a great attitude He’s such an optimist. so Joseph’s options are limited. Associate Professor Emmett hopes that • Joseph: I hope that this trial is gonna be. fantastic. - Lutetium PSMA - Radioisotope story participants: Joseph. Wouldn’t that be wonderful? It would be prolong his life. Joseph: A little bit more time. Joseph is the first St Vincent’s does Associate Professor Louise Emmett respond to patient enrolled in the trial. which has really revolutionised the ability to portance of regular health checks? treat prostate cancer. and Jane Shin (Radiation • What is prostate cancer? What is meant by “end. The Lutetium PSMA trial in Australia is based on ground. In the opinion of Associate Professor Louise Emmett. It’s a completely new • What does Joseph’s diagnosis suggest about the im. Scientist). What is Lutetium PSMA? Devise a simple animation to breaking work in Germany over the few years. patients will be involved in the trial. the answer to the treatment will improve Joseph’s quality of life and all my prayers. Thirty show how it works. I think this is going to give more time to the patients than chemotherapy does. Key terms used in this episode include: - End-stage - Prostate cancer - Imaging agent - PSA focus hospital: St Vincent’s Hospital. I believe it’s given him more time with his family and better quality of life. Traditional treatments have not been able to stem the spread of cancer. What does Joseph’s story reveal about optimism? • What is achieved by telling the audience about Associate Professor Emmett’s scooter and her online © ATOM 2017 shoe shopping? 20 . • Associate Professor Louise Emmett: I’m very happy that Joseph’s come on the trial. Sydney.++ EPISODE 7 JOSEPH From what began as a simple nosebleed. Doctor Kathy Willowson. While Joseph’s prostate cancer the risks associated with the treatment? cannot be cured. which has spread to ninety percent of his bones. Linked stories: Episode 2 – Harry and Episode 9 stage”? How is prostate cancer usually treated when it – Peter. Joseph really only has weeks to live. Why is Joseph willing to participate in the trial? Would • Associate Professor Louise Emmett: And the trial that you be willing to participate in clinical research? we’ve been doing is a Lutetium PSMA trial in men *See Ian’s story in Episode 6 for further tasks about clinical trials. reaches “end-stage”? • How is Joseph’s condition impacting on his quality of life? with end-stage prostate cancer. Sydney pensioner Joseph was devastated to find out that he is suffering from advanced prostate cancer. Associate Professor Emmett.

Cathy. What are the outcomes of the procedure? • Professor Robert Whitbourn: This is a procedure. This newer form of treatment ing for someone of my age would be 135 to 40. So. sixty-three-year-old Phillip has We’re really concerned if we don’t get control of this dangerously high blood pressure that is proving that he’s at a high risk of having a heart attack or a difficult to control with medication. • Phillip: The operation that I had has given me the op- portunity to probably to have a more positive view of my longevity. the research that we’ve done. linked story: Amy – Episode 1. Phillip is in stroke or. showed that his blood pressure was elevated most of the time. Internationally there’s probably about a billion people with high blood pres- sure. 21 . focus hospital: St Vincent’s Hospital. or even dying. Professor the outside. it’s been very difficult to control. a procedure. over 75 pioneered by Professor Robert Whitbourn to 80. and Professor Robert Whitbourn. What is blood pressure? What is normal blood pres- which “zaps” the nerve endings in his kidneys. the heart. Key terms used in this episode include: How is Phillip’s high blood pressure impacting on his - Blood pressure - Femoral artery quality of life? - Catheter - Renal denervation • How is high blood pressure usually treated? - Electrode - Vascular system Why does Professor Robert Whitbourn intend to use renal denervation to treat Phillip’s high blood pressure? • Professor Robert Whitbourn: Phillip looks healthy from In a procedure that takes only half an hour. pressure. a lot of pressure Are there any risks to this procedure? The following morning Phillip’s blood pressure seems im- proved and he is soon on his way home with a new lease of life and a reduced medication intake. all round the world. A good read- medication. which I pioneered here at St Vincent’s. I think has had © ATOM 2017 a major impact on how we look at blood pressure and blood pressure control. uses a catheter with four electrodes. story participants: Phillip. And that Explain how renal denervation reduces blood pressure. sure? Is high blood pressure a life threatening condi- tion? What happens if your blood pressure is low? with the aim of bringing down Phillip’s blood • Phillip: At the moment I am on nine different tablets for pressure and reducing his dependency on my blood pressure and it’s still going up. Uncontrolled high blood pressure is a big problem. In Melbourne. rather Cathy: Lately he has had a 24-hour monitor on him that than just one as was used in the past. Explain the significance of Professor Whitbourn’s work. line to receive renal denervation. puts a lot of pressure on the vessels. the problem is he has very high blood Whitbourn performs renal denervation on Phillip. Melbourne. the kidneys. PHILLIP on the organs such as the brain.

is a Langendorff. Sydney. It perfuses the next phase in our family’s life. It’s What are the unique challenges of Dwight’s transplant? struggling a little bit and it’s not what we would say one How is this technology changing organ donation and hundred percent. For teachers wanting to undertake a detailed unit of study about organ donation.au/ school-education. Now in his sixties. Katrina.com/wt/ night there is a donor available.gov. and to be cancelled in the pre-operative stage. What is post-operative care? What does Miracle Hospital suggest about the type of post-operative care necessary for Dwight’s recovery? • Dwight: I’m very. ex- the other way around which is good but the donor’s not plain how the Transmedics Organ Care System works. everything will be fine. transplant surgery? What is donor match? How are donors and patients • Even though the surgery itself is a success. 22 . In 2012 he was diagnosed with cardiomyopathy and subsequently fitted with an artificial heart pump to keep him alive. we can been keeping Dwight alive? What are the limitations of assess whether the heart’s going to work. and we can actually improve the heart. Evelyn. we run it through What do these claims suggest about the impacts of this machine. Doctor Paul Jansz.donatelife. at giving Dwight a heart transplant have had story participants: Dwight. the heart. we give the blood oxygen. The scientific name for it. This new technology is the culmination of nearly life? twenty years of research. struggling with mobility and unable to drive.Ben and Episode 6 – Ana. Doctor Paul Jansz. Several attempts focus hospital: St Vincent’s Hospital. What are the outcomes of the operation? *See Ana’s story in Episode 6 for activities related to organ donation. the 24 to 48 hours following Dwight’s transplant are crucial. Cardiothoracic and been through with this for almost four years. So that keeps the heart alive and family? functioning on this box. • Doctor Paul Jansz: This technology is called an Organ Katrina: Today is my Dad’s heart transplant and if it all Care System.++ EPISODE 8 DWIGHT The past four years have been extremely difficult for Dwight and his family. and then we waiting for an organ transplant for a patient and their deliver that to the heart.transmedics. ideal. We’ve tal in the world to use the technology. St Vincent’s was the first hospi- • Evelyn: Don’t be nervous. right and perhaps we may not use this heart. performing Dwight’s life-saving operation. the Australian Government Organ and Tissue Authority of- fers a range of resources for students in upper primary © ATOM 2017 and secondary schools – http://www. Key terms used in this episode include: - Cardiomyopathy - TransMedics Organ - LVAD Care System matched? Why isn’t the donor heart in Dwight’s case - Perfuse ‘ideal’? • What is a heart transplant? The emergence of new technology – the TransMedics Organ • Why does Dwight need a heart transplant? Care System or “heart in a box” – is revolutionising donor • How is Dwight’s condition impacting on his quality of transplants. Linked stories: Episode 4 – Bill. Always Transplant Surgeon. the artificial pump? What is the TransMedics Organ Care System? • Doctor Paul Jansz: We got a call about midnight last Recommended link: http://www. And that way we can nourish • What is an artificial pump? How has this artificial pump the heart. so we take donor blood. Now the rub is. Episode 5 . is that page/organ_care this donor doesn’t have antibodies against Dwight or Using Dwight’s transplant surgery as an example. Dwight: I’m waiting for a heart for three years and seven months already. is responsible for remember we love you so much. very grateful to the family of the donor. goes well and it proceeds then it could be the start of It’s a machine that will keep an organ alive. he has been in a poor state of health.

au/.1 up to 1. have gone from . http://www. so that’s what we’re looking forward to. Key terms used in this episode include: - Centrifuge - Multiple Sclerosis - Chemotherapy - Stem cells - Haematologist - Transfusion - Lymphocytes • What is Multiple Sclerosis? Design an infographic about Multiple Sclerosis. Normal is 1½ to 4. This trial gives us really our only hope that we can have a better life together with our beautiful four young adult children and wider family.aspx that was my being in the trial has helped some other and The National Stem Cell Foundation of Australia at people as well. and our not so good days. trial. to participate in new stem cell transplant trial. Why does Peter decide to participate in the trial? Are there any risks associated with the treatment? • Associate Professor John Moore: And your lympho- cytes. I don’t know if this will be the complete answer either but if I didn’t get into this there was basically nowhere else to go. story participants: Peter. ing to fruition. and the stem cell http://www. so you know example of decades of laboratory research finally com- by 6 months. Clinical haematologist. 23 . It’s not really a proven treatment and ing the Stem Cells Australia website at http://www. We are now starting to treat patients with Peter: I feel very fortunate to have been included in the stem cells and giving them hope for the future. Sydney. Associate This trial is the result of decades of laboratory Professor John Moore. Your objectives are to inform and raise awareness of this condition for your selected audience. it will be approaching normal. linked story: research.stemcellfoundation.net. and aims to grow a new immune Episode 7 – Joseph. and Alicia. How is Peter’s condition impacting on his quality of life? • Peter: There’s a sense of hope. one of the things I had in mind in accepting that was stemcellsaustralia.++ EPISODE 9 PETER Peter is a fifty-five-year-old man with Multiple Sclerosis (MS). Associate Professor John Moore. • How is MS usually treated? Is there a cure for MS? • What is the human immune system? What are stem cells? Explain how the stem cell transplant will allow Peter’s body to re-grow a new immune system? • Sharon: We have our great days. What are the outcomes of the procedure? Teachers can access a range of resources for second- • Associate Professor John Moore: St Vincent’s has a ary students online at © ATOM 2017 long history of trying new things.au/about-stem-cells/ transplantation in autoimmune conditions is a great resources-for-secondary-teachers-and-students. has offered Peter the opportunity focus hospital: St Vincent’s Hospital. which are the cells of the immune system.stemcellfoundation.net. His MS has been unresponsive to regular treatments for MS and as a consequence his mobility and eyesight have declined dramatically. Nonie. a condition where his immune system is attacking his brain and spinal cord.au/About-Stem-Cells. It was certainly a risk taking part in this when it Learn more about stem cell transplantation by access- was only a trial. Sharon. system that no longer attacks the body.edu.

we don’t go to university or train as a surgeon as a junior surgeon to do. without opening the chest. How do Associate Professor Muller and Doctor Jansz © ATOM 2017 use medical technology to treat Andrew’s heart condition? 24 . story participants: Andrew. Drawing on Doctor Jansz’s statement and your viewing of Miracle Hospital. to treat a group of patients for whom there really isn’t a good option otherwise. So we’re not quite making it up on the spot but we have to use our skills from other areas to transform into this sort of technology. thirty or so patients around the world have had the device inserted. *See Ian’s story in Episode 6 for further tasks about clinical trials. Use cap- tions beneath each panel to provide matching written explanations. so poorly that he is developing heart failure. very grateful and all right. Only linked story: Episode 4 – Bill and 8 – Dwight. • Doctor Paul Jansz: A lot of these new techniques there’s no training program. and Associate Professor David Muller. What happens when it is not function- ing correctly? Draw a three panel diagram to show your answers to these three questions. ANDREW • Andrew: If I didn’t have the procedure well I wouldn’t be sitting here now. Sydney. These modules can be stop blood going backwards and back into accessed at https://www. The beauty of this is it can be done without stopping the heart. guinea pig but someone’s got to start and I’m very play golf or barely even walk. which is • Andrew: I’m very. Muller and cardiothoracic surgeon Doctor Paul Jansz pro. Shannon. Paul Jansz. Doctor pose a new procedure. but it shows good promise and will hopefully prevent the need for Andrew to have open-heart surgery or go onto on a heart by-pass machine during the minimally invasive surgery. The mitral valve happy that they ah.html. they did. Alex. tral valve through the apex of Andrew’s beating heart.gov. is supposed to open to let blood in from the The Australian Government National Health and Medical Research Council has created eLearning lungs to the heart and then it should close to modules about clinical trials. • Associate Professor David Muller: So this is an oppor- tunity really to. Seventy-four-year-old Bondi resident Andrew What are the outcomes of the procedure? has a leaky mitral valve in his heart. • How is Andrew’s condition impacting on his quality of life? • How is Andrew’s condition usually treated? Why are Andrew’s treatment options limited? Interventional cardiologist Associate Professor David focus hospital: St Vincent’s Hospital. which involves inserting a new mi. Andrew’s mitral valve is functioning au/_files/elearn/index. without going onto bypass. the lungs. compile a list of the advantages and disadvantages of implementing new medical technologies.australianclinicaltrials. Key terms used in this episode include: - Atrium - Mitral regurgitation - Cardiothoracic - Mitral valve - Echogram • What is a mitral valve? Explain how it functions in the human body. I was a making him so breathless he cannot swim.

Doctor Paul Jansz: New groundbreaking technol- ogy today will be mainstream tomorrow.++ RESEARCH PROJECTS A. So for me it’s great. you may choose a medical condition that you have a particular interest in because of your health and wellbeing or because of the health and wellbeing of people you know. You may investigate one of the medical conditions documented in Miracle Hospital. © ATOM 2017 25 . choice of language and layout of the article. Present your findings as a feature article for a print or online publication. B. Professor Robert Whitbourn: We’re always try- ing to look at better ways to treat people. Professor Peter Choong: Technology is moving so quickly that we only have to ask a question “is it possible?” and I’m sure somewhere in the world there is someone working on the solution straight away. And so it’s personally very satisfying to be involved in new technologies. new techniques. If you prefer. but my main focus is on trying to make it better for the patient. Present your findings as an exhibit that you might see in a science and technology museum. Debate Hold a class forum to debate the topic: THAT AUSTRALIA SHOULD INVEST IN MEDICAL RESEARCH AND INNOVATION. The audience of the publica- tion will influence the content. Research the treatment of a medical condition. Your task is to research a new medical technology. Every student in the class is expected to express a view based on their viewing of Miracle Hospital and supplementary online reading. trying new things to try and get a better outcome.

++ APPENDIX 1: GLOSSARY As you are watching Miracle Hospital. compile a glossary of medical terms. TERM DEFINITION © ATOM 2017 26 .

PATIENT AND IMPACT OF MEDICAL STAFF TREATMENT RISKS OUTCOMES HEALTH ISSUE HEALTH ISSUE Amy Rodney Harry Barbara Peter © ATOM 2017 27 . Once completed. you will be able to use the chart to make links between patient stories.++ APPENDIX 2: COMPARATIVE VIEWING CHART Use the comparative viewing chart to record notes about each patient’s story.

PATIENT AND IMPACT OF MEDICAL STAFF TREATMENT RISKS OUTCOMES HEALTH ISSUE HEALTH ISSUE Mavia Bill Melissa Margaret Ben Ana © ATOM 2017 28 .

PATIENT AND IMPACT OF MEDICAL STAFF TREATMENT RISKS OUTCOMES HEALTH ISSUE HEALTH ISSUE Ian Joseph Phillip Dwight Peter Andrew © ATOM 2017 29 .

Doctor Paul Jansz. Professor Choong liaises with a team of experts to build a 3D printed titanium partial scapular. explains the advantages of the technology. - What are the advantages of the Organ Care System? © ATOM 2017 30 . In this clip. Watch the clip and then answer the following questions: - What is the Organ Care System? - Describe how the Organ Care System works.++ APPENDIX 3: FOCUS ON MEDICAL TECHNOLOGY Clip 1: 3D Printed Prosthesis At St Vincent’s Hospital in Melbourne. Professor Peter Choong is using 3D printed prostheses in surgical procedures. Watch the clip and then answer the following questions: - What is a prothesis? - Describe the steps that are part of the process of build Margaret’s new shoulder joint. - What does this footage suggest about the relationship between medical and technology expertise? Clip 2: Organ Care System St Vincent’s Hospital in Sydney is using the Organ Care System to improve donor transplants. In this clip Cardiothoracic and Transplant Surgeon.

conferences. Join ATOM’s email broadcast list for invitations to free screenings.au To download other study guides. © ATOM 2017 31 . (© ATOM 2017) ISBN: 978-1-76061-020-3 editor@atom. visit <http://theeducationshop.metromagazine.com.org.com. Screen Literacy. seminars. Multiliteracy and Media Studies. This study guide was produced by ATOM.au>. Sign up now at <http://www. etc. plus thousands of articles on Film as Text.au/email_list/>.