Murmur (2019) - full transcript

So, uh...

The department

of corrections

has sent over your papers,

and, um...

You're going to start

with us today, which is great.

And I'm not sure

if they told you,

but you're going to be doing

a lot of dirty work,

and, uh...

The clothes that you're wearing

really aren't appropriate,

do you have other clothes

that you can bring?

No problem, no problem.

So we pour the

mop bucket out right here.

So you're going to wring it

just by squeezing it.

There you go.

Try to get all the water

out of the mop,

because it's

a really heavy mop.

Jeez.

Yeah?

Okay.

Okay, and you take

this thing off

by just lifting it

straight up.

Perfect.

And just pour it out.

So when we fill up

the bucket again,

we have to use

this medical grade disinfectant.

And we're only going to use

25 mls of this

because it's really strong.

Just right in the bucket?

Yup, just spritz it

right in there.

And we put that in

before the water

so it mixes up

really nice.

Okay.

And this stuff to make it

smell pretty.

Oh.

How much?

You're good.

- That's good?

- Yup, that's good.

Okay.

So, the purpose of

today, our goal is to one,

provide education

on safe driving

and the effect of alcohol

and other drugs,

to provide education

on the harm

associated with substances,

and developing a plan

or strategy

to avoid

a future occurrence.

So how did you

get here today?

I do not have

your specific details.

I don't know why you are here

today, other than...

You've either been charged

or convicted

with a driving

while impaired offence,

or you have an administrative

licence suspension.

So how do you get

your licence back?

The first step,

you're completing today,

you're already doing,

the education program.

What're you doing?

What have you got?

You're not going to bite me?

No?

Wait a minute,

just wait.

Wait.

Careful.

Do you like

to be cuddled?

Do you like

to be cuddled?

You're so pretty.

Well, you're welcome.

Yes, you're welcome.

You're so pretty.

What's he saying?

Huh?

What's he saying?

Hello?

Hello, Melissa?

Hi.

Hi, it's Donna,

is Julia there please?

No, she's not here.

Oh.

Well, do you know

if she'll be back soon?

Donna,

she's not here, you should leave.

Well, you're not my daughter,

and I'd like her

to phone me please,

can you make sure

she phones her mother?

I think

you should leave her alone.

I'm hanging up now.

Well make sure

she gets the message please,

I need her to call...

Come here, come here.

No, you've got to wear this.

You have to wear this.

There you go, no,

come here,

you've got to weary this,

no, you have to wear this.

That's a girl.

What a good girl.

She's watching the screen.

So this is

her bladder there.

So we're just going to...

we're just going

to go around a little bit

and see if we see

any puppies.

We're looking

for a heart beat.

So we've just come up

on the first fetus there,

so we can see that

there's a heart beat.

You're going to be a mommy!

Wow.

Come here.

There you go.

You're so sweet.

Come on, Charlie.

Look, come here buddy.

There you go.

What a good boy.

Yummy?

Just wait.

Just wait a minute.

I've got more.

There you go.

Donna,

it's one of the worst parts of our job

when we have

to euthanize a dog

which is near

the end of their life.

But it's something

we have to do

and we have

to deal with it.

And we just can't have you

taking home every dog

that we need

to euthanize.

I understand, but Charlie and I

have a connection.

He came right up to me

when I started

and it will only be

this one time.

It's good of you,

but the fact of the matter is,

you know, Charlie is sick,

and there's high vet bills,

and you have limited resources

as far as I know.

How are you going

to cover those vet bills?

Well, Crystal mentioned

that there's a program

for older dogs,

senior dogs,

and it looks after

the veterinarian costs,

and everything.

The palliative care program.

But that's generally

for dogs that are older,

like Charlie, but are

in much better shape.

Charlie is really near

the end of his life

and to extend his life

may not be

the right thing for us.

I think it would be

good for him.

And I think

he deserves a chance.

So Charlie's got a couple

of health concerns

that we're going to have

to talk about today, okay?

So he's got a grade six

out of six heart murmur,

and he's in heart failure,

he's in congestive

heart failure, okay?

He's also got some

severe skin issues

that we're going to have

to send you home

with medicine for.

I'm going to go over

each of these medications,

okay, with you.

He's going to be

on antibiotics.

These antibiotics are

one full tablet every 12 hours

and there's two weeks worth

in there.

That's going to help

with the crusting

and infection in his skin.

He's also going to go

on medicated shampoo.

So this medicated shampoo

you're going to lather up

really well,

work it into his coat,

right to the skin,

leave it on for five

to ten minutes

and then rinse it

really well.

And get him nice and dry,

no moisture left behind,

okay?

So you're going to do that

basically every day

until his skin

is looking better.

He's got an ear infection.

He's got bacteria

and yeast in his ears.

Oh, Charlie, come on.

Come on,

you need to eat.

Look, eat.

There you go.

What a good boy.

What a good boy!

Yes you are!

Yes, yummy yummy.

It's okay, it's almost done.

So this is the first time

that alcohol has

caused you problems in your life

than with the driving

while impaired charge, then?

Yes, yes, big problems.

Has there been

a time that people have been

upset with your drinking?

Well, yeah, my daughter

doesn't like it when I drink.

Okay,

so there's been conflict in the family

because of your use,

then?

Yeah, yeah.

It sounds like

you care about your family.

Oh, I love my daughter,

love her.

She's my heart, you know,

she's my only baby.

So yeah,

she's important.

Come here,

Charlie come here.

Charlie, come here,

come here.

Oh, that's my boy.

How was your day?

How was your day?

I missed you.

What's that?

What's that?

Wait a minute,

what's that?

Charlie, did you pee?

It's okay, buddy.

It's okay,

it's okay, don't worry.

Go pee, come on,

let's go pee.

It's cold.

Oh!

Look at you!

Oh, come here.

It's okay, it's okay.

Hi.

It's okay.

Oh, you're cold.

You're cold.

It's okay.

I know, just wait.

There you go.

It's okay.

Let go, let go.

There you go.

Oh, hi, hi!

Please...

Yes, I know...

Oops!

Oh look, you like that.

The stress test

showed us an abnormality,

and that's why we had

to go to the dye test.

And it showed us

some minor abnormalities

in the arteries

of your heart.

These are the major

arteries of your heart,

and you can see

that it's got

some lumps and bumps,

it's not a clean tube

all the way down.

Down here,

it gets narrow.

It's about 60%.

Usually we don't fix arteries

until they're more than 70%.

So it just means

that again,

we have to be

very vigilant about exercise,

diet,

and appropriate therapies

to lower your cholesterol

in particular.

So I think

with all this information,

the best thing for you

to do to live

as long as possible,

and as well as possible,

is to go

to a cardiac

rehabilitation program.

Cardiovascular prevention

and rehabilitation.

You'll go through 12 weeks

of exercise

and nutrition training...

Charlie, what did you do?

And you had to walk

through it, didn't you?

What a good boy.

Charlie, come here.

Come here, baby.

Come here, good boy.

Come here, let's go.

What a good boy you are.

Okay, you be patient,

okay?

Here's your tail.

Yes, just wait.

No, you get the treats

after, okay?

You get those after.

Sorry buddy,

but you've got to wear these.

I'm sorry.

I'm sorry.

I know.

Look, look, here.

Look, there you go.

Here, here.

See, that wasn't so bad.

Charlie.

Charlie.

You're my sweetheart.

I love you.

Charlie, I love you.

What a good girl.

It's just...

It's wonderful.

She's a good mom.

It's okay.

It's okay.

It's okay.

Look at that nose,

look at that nose.

I know, got to eat

your supper.

I know.

What a good boy.

We're going home.

You're coming with me.

Hey Charlie, look.

Mommy's got

a friend for you.

Mommy got

a friend for you.

Yes I did.

Look, I think it's great

that you care for these animals

but the fact of the matter is

I have to know

that you can take care

of this cat properly

and that this will be

the last time

that you take an animal

home from here,

are we clear about that?

I'm very serious about this

because I could easily

call your probation officer

and arrange for you

to do other community service.

Do I need to do that?

No, no,

the call's not necessary,

I understand exactly

what you're saying.

Okay, Donna,

this is the second part

of the investigation,

the ultrasound or the echo,

and this is to see

if we can actually find

the origin of the murmur

that we heard.

Oh, look at this,

Charlie.

Look.

You're not

very amused, are you?

Look, what do you think?

No?

Fine.

But I know a cat

will like that.

Oh look.

What do you think,

blue or black?

Blue's your colour.

Look at this guy.

Good boy, good boy.

Hold on.

There you go, good boy.

It's okay, look,

I made you a house.

Yes, you're going

in your house.

You ready?

You ready?

Look, wait a minute,

wait a minute,

don't be so impatient.

And you use this bit,

we don't need to use this bit

because we don't need it

to be like smooth or anything.

But just file off

all the sharp pieces

on preferably

all these bones

if you have the time.

Think you can do that?

Oh yeah.

Awesome.

You have fun.

Thank you.

No problem.

Alright, we're going

to start it up

and see how he handles it.

I'm going to keep

my hand on him

to make sure

he's comfortable.

There we go, oh,

you're a superstar.

You're a superstar.

Charlie, look at you.

There we go.

Charlie, look at you.

There we go.

He's a superstar!

Now how does this

help their legs and that?

Well, the buoyancy

of the water

is going to make it

a little easier

for him to move

his legs forward,

so he's going to be able

to actually use

the muscles

a lot easier,

and it's a lot easier

on his joints.

Oh, okay.

These could be

emotions, these could be a situation

or an environment

that you're in,

where a craving is more of

like a physical sensation.

Has there been any time

since the last time

we've seen each other

that you experienced

a trigger or a craving?

Oh, I guess, probably around

supper time or bed time

I used to have

a glass of wine.

And it just, you know,

made me feel great,

or you know, happy,

it lifted my mood.

And relax, it let me relax

so that I could fall asleep.

So that I guess would be...

I don't know if that's a trigger

or a craving,

but it's probably...

oh, I don't know.

It's just I miss

my glass of wine.

It kind of calms

everything down.

She's so cute.

We talked about her

being diabetic, right?

Yeah, yeah.

So here's the supplies.

Okay, yeah.

You have to inject her

behind the scruff of the neck

twice a day.

Yeah, okay, no problem.

Pretty girl.

Okay, so you know that,

here you go.

Aren't you

a pretty girl?

Look, you want some treats?

Look, look, see?

Look at those, huh?

Now I'm sorry but I've got

to give you your medicine, okay?

I'm sorry.

I know, I know,

I'm sorry.

Don't move.

Good girl.

Good girl, just wait.

What a good girl.

Yes.

Now you'll feel better.

All right folks,

welcome to cardiac rehab.

So we're going to spend

the next hour

going through

our exercise portion

of the program.

So I'm Leo,

one of the physiotherapists

with the team,

and probably the face

you'll see most times

that you're here.

We're going to spend

the next five or ten minutes

warming up

with a few exercises

just seated in our chair.

So we're going to start

with marching in our seats.

So just lifting the knees,

getting the arms going...

always make sure

you're breathing comfortably.

Sometimes

when we exert ourselves,

we have a tendency

to hold our breath.

A little counterintuitive.

Looks good.

And check in

with yourself.

This is supposed to be

fairly comfortable,

so you don't want

to be panting

or breathing too hard

right off the bat.

Should be pretty comfortable

if I asked you a question,

should be pretty easy

to answer.

Good.

We're going

to switch that up,

and I'm gonna get you

to bring your knees

and arms up

a little bit higher.

Using those hips

a little bit more,

that looks great.

Excellent.

Feeling good so far?

Hopefully.

Good.

Now you're gonna take

those arms there

and we're gonna reach

towards our knees,

so a big lift up

with the arms,

see how much range

of motion

those shoulders

are comfortable with.

Knees come up

towards your hands.

Again, make sure

you're breathing comfortably,

take breaks

if you need to.

Good.

Take your time with it.

Shake your arms out,

go back to a march.

Good.

Cover a little bit there,

that looks great!

Hello?

Hello, Melissa,

is Julia there please?

Donna?

Why are you here?

Well, I'm trying to get

ahold of Julia,

and I don't...

she's not answering

her phone,

and I don't know if you gave her

the message I gave you.

Yeah,

Julia doesn't live here anymore, so...

Oh.

Oh, okay...

Can you tell me

where she's gone?

No,

she's living with her boyfriend now.

Oh.

Oh, okay, and...

you don't have an address?

No.

I've gotta go,

don't come here again.

Can you give her a message

that her mom wants to talk...

Oh my goodness!

Oh, come here.

This is Bruno.

Hi, Bruno!

Oh my goodness,

you're so cute!

Yes you are.

He's a really good dog.

Yeah? You

know, I'd keep him myself,

but he doesn't get along

with my huskies.

Oh, okay, no problem.

Oh, he likes you.

Yes...

Oh, aren't you cute...

Aren't you cute.

Think you'll fir

right about there.

Yep. I think you'll be fine.

Just wait, Bruno.

Come on.

Ready bud?

Look, look.

Look at that.

That's your new home,

look at that.

Yes.

Bruno, go away.

Hi, bud.

You like that?

Good, I'm glad.

Whoops.

Ah, shit.

Come here, Charlie.

Charlie, come here.

Look, look.

Come on,

you've gotta eat some.

Charlie, come here.

Charlie, come here.

Charlie, you're going

to get sick.

Here.

There you go.

Look, Bruno's eating it.

No, this is for Charlie.

Charlie needs it.

I know.

Charlie needs it.

Charlie?

Come here, bud.

Come on, buddy.

Yeah, he's...

Charlie hasn't been

feeling that well,

hasn't been eating,

and kinda listless,

and he's just, uh...

he's just not Charlie.

Let's start

by getting a weight on him there,

to compare

to his last one.

So if you can just

put him right on the scale.

It's okay, it's okay.

So he's just

over 3.8 kilos,

so he's down quite a bit

from when you adopted him,

he was around five then.

So that's pretty significant

weight loss.

We're going to start

with some lab work,

and take some updated

X-rays on him,

and see if we can

get some answers

as to what's going on.

Okay.

All right, so I'll take him

from you for now, okay?

You'll be back.

You're gonna be

right back.

Somebody looks tired.

Yeah.

Taking him home?

Yeah, he's only a baby.

Did you check

with Shelley first?

Hmm.

Good, good.

Got everything?

Yep.

Let's go.

Excellent.

Adjust it as you need to,

keep your chest lifted.

Nice deep breaths.

There you go

There you go, bud.

There you go buddy.

I'm not gonna...

see anything, am I?

No, they're all in bags.

Okay, okay.

Ready?

Yep.

There's so many!

Oh.

Just grab as many

as you can.

We have to spread them out.

So you kinda have

to chuck them, sadly,

in the back there.

Oh, okay.

Come on, Donna, let's go.

Oh, okay.

Okay buddy.

You'll be okay.

Sounds

like he's important to you.

And he helps you manage

these unpleasant emotions.

Yeah, he...

he means a lot to me.

And that, and...

I'm gonna miss him

when he does go.

Because...

I can talk to him.

I talk to him.

He's...

He's such a good boy.

Such a good boy.

I haven't had him for long,

but, you know...

he makes, like, the days

since I got him go better...

go quicker.

And he loves me

no matter what I do.

Yep.

I love him a lot.

Yep, love him a lot.

Hi guys.

Where's Charlie?

Where's Charlie?

Hi, Crystal?

Hi, it's Donna from work.

Yeah, um...

I was wondering

if you could come over.

Charlie's not doing

very well,

and I don't know

what to do.

I'm just...

just wanted...

you know.

Okay.

I'll see you soon?

Okay, thank you,

bye bye.

Hi!

Hi, I'm wondering if you can

take Charlie and me

to the vet.

Yep.

Okay, let's go.

Okay.

We need to...

To look at

what's best for him, and...

We don't want him

to suffer at all,

and although

it hurts for us,

it's more unpleasant

for him to be like this, so...

I think we know

what we have to do.

Fine.

Okay, I guess so,

yeah.

So, the way that

this is going to work,

okay, is that I'm going

to take him from you

for just a couple of minutes

so that we can put in

a port in his arm

that'll give us IV access

so that everything

will go really smoothly.

And then you can hold him

and be with him

until the end, okay?

But I'll just take him

out of the room briefly

for that procedure

and then I'll bring him

right back, and he can be

in your arms, okay?

He won't feel anything?

He's not going to feel

any pain at all, okay?

I'm sorry.

I'm so sorry.

I love you so much.

I love you so much.

Donna,

when I heard what Crystal told me

about your apartment

and the state it was in

and the animals...

we just can't have that!

I mean, okay...

this is what

we're going to do.

We're going to call

Animal Control,

and they're gonna go

and remove

all the remaining animals

from your apartment.

It's just not safe

for them,

and they are our priority.

And...

we're going to have

to let you go.

You'll have to do

your community service

somewhere else.

I mean, you know Donna,

animals are our priority,

their health and well-being

has to come first.