:17:00
I got to go.
:17:03
Mr and Mrs Archibald.
I'm Rebecca Payne, Hospital Director.
:17:07
Hi there.
It's nice to meet you.
:17:08
This is Dr Turner, head of Cardiology
and Michael's doctor.
:17:12
- How do you do?
- Good. My wife.
:17:15
How's our boy doing?
:17:18
Please sit down.
:17:40
This x-ray shows
a normal nine-year-old's heart.
:17:43
This x-ray is that of your son Michael.
:17:48
There are septal defects
here, here, and here
:17:53
which have induced myopathy,
resulting pulmonary edema,
:17:56
and malignant ventricular ectopy.
:17:58
Michael's heart is approximately
three times larger than normal size.
:18:02
I'm sorry.
:18:05
I didn't understand what you said.
Could you put that in layman terms?
:18:08
Basically, there's not enough blood
being pumped by Michael's heart,
:18:13
so it backs up in the lungs
like a sponge getting wet.
:18:18
His heart is trying,
but it's working too hard.
:18:21
What, does he need
an operation, or...
:18:25
We're considerably beyond
corrective surgery, Mr and Mrs Archibald.
:18:30
Mike's heart is useless.
:18:32
He's going to need a transplant
or he's going to die.
:18:37
Wait a second.
There are other options.
:18:40
- What options?
- To do nothing.
:18:43
Medicate him. Make him feel
as comfortable as possible.
:18:46
You're going to have to start thinking
about quality of life now.
:18:49
I don't understand.
:18:51
We were just with him
and he seemed fine.
:18:55
He's going to seem fine,
but as his heart gets worse,
:18:58
he will become increasingly fatigued,
and he will sleep more and more,