THE POWER OF TWO 8/21/2011 Timecode 01:00:00 01:00:24 Video OPENING CREDITS 01:00:28 01:00:47 01:00:52 THE POWER OF TWO 01:00:55 01:00:58 01:01:14 01:01:27 01:01:37 01:01:45 01:01:51 01:02:07 01:02:13 01:02:22 01:02:53 THE POWER OF TWO A TWIN TRIUMPH OVER CYSTIC FIBROSIS ANABEL “ANA” Dialogue [MUSIC] ANABEL My name is Anabel Mariko Stenzel ISABEL My name is Isabel Yuriko Stenzel Byrnes. We are twin sisters. We were both born with cystic fibrosis. The genes we share give us the same face, the same body, the same cough, the same hospital room. [MUSIC] ANABEL I’ve had two double lung transplants. ISABEL I have had a double lung transplant. [MUSIC] ANABEL We all our impacted by our disease, by our transplants, and yet, it’s really about what’s inside. [MUSIC] ANABEL It’s about people going for the gold, it’s about determination, making it to the end, no matter how fast or slow you are. ISABEL Missy, go! ANABEL A person may have a disfiguring scar on the outside, but they have a liver that works, they have a heart that pumps, they have a lung that’s full of air and taking them across the swimming pool. It’s the internal [MUSIC] ANABEL No matter how bad things can seem, the hope of improved life can carry somebody through. [MUSIC] ANABEL The Power of Two - 2. Timecode Video STENZEL 01:03:04 ANA 01:03:28 ISABEL “ISA” STENZEL BYRNES 01:03:44 HATSUKO STENZEL MOTHER OF ANA & ISA ISA 01:03:57 01:04:37 WASHINGTON, D.C. DR. FRANCIS COLLINS DIRECTOR, NATIONAL INSTITUTES OF HEALTH Dialogue When I think about my childhood with cystic fibrosis, there’s a lot of memories that naturally come to surface. ANABEL The first ten years of our lives, we did do treatments, we did go into the hospital once or twice, but primarily, my earliest memories growing up were about cultural influences. My mother, being Japanese, really set the, the background for who I am as an individual, and how much the Japanese culture was infused into me. ISABEL My parents were so dedicated and supportive, and they did everything that they had to do to raise my sister and I well, but they also came from cultures where you didn’t talk about your feelings or you didn’t talk about what was inside of your heart. We didn’t express our emotions like that. HATSUKO Every hospitalization they experienced when they were young, I felt like I did something wrong. And it was very, very difficult. ANABEL One of the things my mother taught me was the idea of Gaman, and Gaman is an Japanese word that means persevere, strength within. By the age of 11 we started to go in and out of the hospital more frequently, where it did start to disrupt school. It was not just a little vacation anymore, it was fevers, it was shortness of breath, chronic coughing, coughing up blood, which is a very common symptom of cystic fibrosis. DR. FRANCIS COLLINS Cystic fibrosis has a name that’s a little offputting, it’s a lot of syllables, a lot of people aren’t quite sure what this disease really is. Maybe they’ve heard of it, maybe they’re just heard it called CF. We all have two copies of each gene in our system, one from mom, one from dad. Cystic fibrosis is caused by The Power of Two - 3. Timecode Video DISCOVERED CYSTIC FIBROSIS GENE 01:05:29 ANA EXCESSIVE THICK MUCUS PROGRESSIVE LUNG DISEASE 01:05:45 01:05:54 01:06:10 01:06:32 ISA 01:06:42 DR. HOWARD KOH ASSISTANT SECRETARY FOR Dialogue misspellings in those genes. If you have two copies, and one of them isn’t working, but the other one is, you’re fine. But if you’ve inherited a misspelled copy from your mother and another from your father, so that both copies are not working, then you will develop cystic fibrosis. It is the most common, potentially fatal genetic disease, in northern European background individuals, but it occurs in others as well, as we see in the case of Ana and Isa. ANABEL One of the main issues in cystic fibrosis is an imbalance of salt and water in cells, and that causes thick mucus. Thick mucus cases progressive lung disease. And ultimately respiratory failure. ISABEL There is no cure for cystic fibrosis at this point, as your lungs become more damaged, the only hope for survival is lung transplantation. DR. FRANCIS COLLINS Organ transplantation is a critical part of current medical therapies for many conditions, CF being one example. And right now we have this terrible problem of a limitation in the numbers of available organs for those who desperately need them. ANABEL When you receive a gift as amazing as a transplant, there is some sense of obligation to give back. Nothing is possible if we don’t have health. And I’ve learned that more myself from personal experience than anything else. So now that I am healthy, I do what I can. ISABEL We’re representing the thousands of other people with CF, or people who need transplants, that aren’t able to go to Washington D.C. DR. HOWARD KOH We have thousands of people desperate for an organ and desperate for a fighting chance at a The Power of Two - 4. Timecode Video HEATH DEPARTMENT OF HEALTH & HUMAN SERVICES 01:06:59 01:07:04 01:07:19 01:07:27 01:07:28 01:07:28 01:07:42 01:08:05 01:08:19 ISA Dialogue normal life. Even though we are making progress, the numbers of people on the waiting list are going up, not down. This is our collective societal issue and everybody can make a contribution. ANABEL In America, every day 19 people die because there is a shortage of organs. DR. HOWARD KOH Advocacy is the engine of change, for any issue in society, and particularly for public health. And the beauty of advocacy and the power of advocacy is it can start with one person. In this case, two people. ANABEL We’re here on our fifth day of my 16th hospitalization, and her 20th. CLERK 20th? ISABEL Yeah. ISABEL Being in the hospital really sort of sets in stone my abnormality. None of my other friends went into the hospital, so this was just my story and Ana’s story and we were the only ones going in and out. ANABEL I think that in terms of growing up with a twin with cystic fibrosis, undoubtedly, it was transformative. When we started to get sicker, and we were in and out of the hospital several times a year. We started to build our own cocoon. We became our own confidantes, we became our best friends, our teachers, our personal therapists ISABEL Our peers became adult health care providers, rather than our peers at school. And that comfort level also made being in the hospital not so scary. ANABEL I was a very emotional child, and writing gave The Power of Two - 5. Timecode Video 01:08:34 01:08:55 01:09:07 01:09:15 01:09:26 01:09:34 01:09:40 ANABEL STENZEL AUTHOR 01:09:49 01:09:54 ISABEL STENZEL AUTHOR Dialogue me an outlet to express myself and to record what I thought would be a very short life. ISABEL I think Ana’s the one that started writing and she just started to list things, list her medicines and list her doctors. And then gradually we started more of a diary format, we just started writing about all the memories we had about previous hospital stays. HATSUKO They were very, very special children, they had great motivation. I just encouraged them, whatever they were doing, that’s all I did. REPORTER Out of boredom, Anabel and Isabel Stenzel say they started keeping a diary of their hospital stays, titled “Life at Kaiser.” ANABEL “Life at Kaiser” was sharing with the world, what the patient’s experience was from the other side, from the internal side of being in the hospital. REPORTER The book is illustrated, including how to do certain procedures learned from experience, plus, tips on physical therapy of the chest. ANABEL I pound her back like this, to loosen secretions in the lung ANABEL Throughout our hospitalization and throughout our experience with roommates, nobody really knows what cystic fibrosis is, and so with our book it teaches people what it is. REPORTER Almost startling is the frank understanding of what they face. ISABEL When we were little, we knew how bad CF could get, and we thought that we were very lucky cause we were twins, and we shared the disease by two. But now we know that it progresses, and so now we each get as sick as The Power of Two - 6. Timecode Video 01:10:11 01:10:21 01:10:38 STANFORD UNIVERSITY STANFORD, CALIFORNIA ISA 01:10:51 01:11:20 01:11:31 01:12:05 ANDREW BYRNES ISA’S HUSBAND Dialogue anybody else may get ANABEL I plan to do my best in school and get good grades and hopefully go on to college, and if I, like, if I last that long. [MUSIC] ISABEL This idea of Stanford, first occurred to us when we were about 14 years old. My parents said, this is where they do heart lung transplants, and we’re like wow, that’s like science fiction. ANABEL Stanford is really the heart of, of us in many ways. We came here for college, and it opened up a whole new door of life for us, in every way, emotionally, medically, academically. Certainly there were fears, going to college, but those fears were minimized because we had each other. Little did we know that leaving for college is actually the most life saving, best thing that we ever did. ISABEL Throughout our four years pretty much, we were always a little bit outside of like the dorm partying, and the dating. That didn’t happen till senior year. ANDREW I fell in love completely independent of cystic fibrosis. She sat me down and, uh, she said, you know, I have an illness, and I have to do therapy every day with my sister, and I cough a lot, and I just wanted to let you know. I think that you should follow your heart, and if they’re the right person, and the only issue is, well, they have a chronic illness, that that shouldn’t dissuade someone. PRIEST Ladies and gentlemen, I present to you, Andrew and Isabel Byrnes, husband and wife. The Power of Two - 7. Timecode 01:12:13 01:12:21 01:12:54 01:12:58 01:13:16 01:13:42 Video Dialogue [APPLAUSE] ANDREW Ana I think, had, I don’t think, I know, had fundamental doubts and concerns about our relationship ANABEL And all of a sudden, this third person comes into the picture who takes Isa away to go to Napa Valley for the weekend, and she’s having fun, while I’m struggling thinking who’s gonna take care of me. Observing romantic relationships around me and observing love without ever experienced it myself, was not easy. But at the same time I was very happy for Isa, that she found someone and that there was this person who was so loving, so unconditionally accepting of our dynamic. We all grew together. [MUSIC] ISABEL At Stanford Hospital, once a month, there is a support group for people who are waiting for lung transplant and those who have received lung transplant. It’s a really dynamic, engaging, loving, open and tremendously hopeful environment. ISABEL Welcome everybody, this is a very special gathering of lung recipients, to be here to just talk to each other and get to know each other even more. I thought of this prayer flag project to give to Japanese donor families. They’ve never really been recognized, and I think it would be meaningful to share with those Japanese donor families how we feel about being recipients. MALE LUNG RECIPIENT I received a heart, double lung transplant in 1997. It, the underlying cause of my transplant was cystic fibrosis, genetic disease. I still have cystic fibrosis it affects now my sinuses mostly, my pancreas, but my lungs have returned, I’m at 100 percent lung capacity. The Power of Two - 8. Timecode 01:14:05 01:14:07 01:14:28 01:14:55 01:15:14 01:15:31 01:16:03 Video Dialogue ISABEL Great. ANABEL As you can imagine, quickly we become very close, because the journey of lung transplant is a roller coaster ride, and it’s probably one of the most pivotal, challenging, life changing, existential experiences that any human being can go through. FEMALE LUNG RECIPIENT I was very, I don't know if it was nervous, it was just all of these really mixed emotions about, you know, waiting for, for someone to pass away and hoping that they were gonna give that gift of life, and just praying for the family was really, really important to, um, to us and our family. If that person had not donated it could have, you know, ended very, very badly. MALE LUNG RECIPIENT It’s a, it’s a very sober thing to realize someone has lost their life, you know. But at the same time, I, they didn’t lose their life because I got my transplant, they would have lost their life whether I got the transplant or whether the lungs went in the ground. ANABEL Every breath we take from the minute we’re born to the minute we die is about renewal. But when you have sick lungs and then you have a lung transplant, it’s a bigger level of renewal, and it’s about becoming alive again. MALE LUNG RECIPIENT 02 It is a completely different feeling to breathe with the gift of these donated lungs than it was to breath my entire life, because when I close my eyes and I breathe in, I feel like I’m in a sanctuary. You know. It’s just peace. And that’s new for me. And that’s awesome. It’s awesome. Even though I have to wear this mask for the next couple of months, it doesn’t matter, it’s awesome. FEMALE LUNG RECIPIENT 02 I decided to write my donor family a letter about The Power of Two - 9. Timecode Video 01:16:31 01:16:52 01:16:54 01:17:13 ANNA MODLIN 01:17:46 ISA 01:17:57 01:18:08 ROBIN MODLIN Dialogue four months after my surgery. Um, and then six months later I received a letter from them. My donor is a male and his brother’s the one who wrote me and he called me his sister. And just to find out his name was very, I mean, I prayed day in and day out that I will be able to express my gratitude for what they’ve done for me and my family. ISABEL Breathing to me means that my husband can have me and he’s not a widow and breathing means I’m still with my twin and with my family Breathing means I can write a list of things I want to do and actually do them. So that’s really what breathing is to me, the possibility of so many things. ANABEL Everyone say breathe. EVERYONE Breathe. ANNA [COUGHING] I have a very strict daily regimen and when I get up in the morning, the first thing I do is my airway clearance and my nebulizers, I use albuterol, which opens your lungs and allows you to take as deep of a breath as possible. You have to work hard at getting the stuff out and treatments are passive, you have to be pretty active to make it work for you. But once it’s done, then it’s like ah, I can breathe again. ISABEL So I’ve known Anna Modlin for 20 years now. The Modlin family means the world to me. I love them, you know, as much as I love my own family. ANNA My mom and I make a really good team in treating this disease and we actually have done that my whole life, not just at the end stage part. ROBIN The Power of Two - 10. Timecode Video ANNA’S MOTHER 01:18:18 01:18:36 01:19:12 01:20:08 ANA Dialogue CF has been the center and Anna has been the center of my life and caring for her. It’s been a very intense experience of motherhood. ANNA I’m a patient who’s been having more issues lately. I have my oxygen which I have to use 24 hours a day. These are my travel tanks, so each one lasts about four hours for two liters. ISABEL When Anna Modlin was nine years old, the gene for cystic fibrosis was discovered and I was 19 at the time and I said I promise you that by the time you’re 19, there’ll be a cure for CF, but unfortunately, that, that didn’t happen yet. And she’s 29 and she’s at the end of her life with CF. There’s nothing more for her. There’s no new medicine, there’s no cure there’s no gene therapy yet. So, the only hope for her now is transplant. ANNA That’s the hardest part, is that, no matter how hard I try and no matter what I do, how educated I am about the illness, it’s still gonna win. What I’m lucky about is that transplant is the option at the end, and when I was born, that wasn’t an option. And when I first grasped that reality, it made me, obviously, really sad, because the end of, it means it’s the end. You know, like before it, um, that would be it, there wasn’t something else. But now it’s so hopeful that there’s something on the other side. So I’ve kind of shifted my focus that all of this is worth it because I have to be strong to get through the surgery and then live a life that I want to live. ANABEL Anna Modlin has become one of the most important people in my life. We’ve travelled the road of this ugly disease together and watched it progress in ways that we have fought very, very hard to not let that happen. I feel like she’s a little sister in a way. Anna Modlin was my camper at cystic fibrosis camp and we would spend one week together every summer, side The Power of Two - 11. Timecode Video 01:20:38 01:20:42 ISA 01:21:01 01:21:13 01:21:20 01:21:52 01:22:05 01:22:18 01:22:23 Dialogue by side, becoming close friends [MUSIC] ISABEL So, 11 to 24, I went to camp. It was that important to me. I made an effort to go every single summer and I would plan my hospitalizations before camp, so I’d be in good shape for camp, and make sure I didn’t get sick and so on. ANABEL This was a very special place where we would go away to the mountains with about 100 other children with cystic fibrosis and we would be normal. HATSUKO That one week, they looked forward all year and they made great friends ANABEL It was the most amazing coming of age beautiful experience in my life. I learned about music, I learned about expressing one selves, I learned about real Americans and what they eat and what they say, and what they do. And I learned about other children with cystic fibrosis and how they cope with it and how their families cope with it. And for the first time, it was like a curtain was lifted, and I saw the reality of my disease. ISABEL Certainly there were children who were much sicker than I. Some that were barrel chested, and some that were on oxygen when they were seven years old, or tube feeding, or some were in wheelchairs. ANABEL Those were the kids that taught me wow, I better take this disease seriously. I better take care of myself. And it made me a wiser young teenager. It changed me. [MUSIC] ISABEL And there was an older girls cabin called the “Pink Ladies", and in a couple of years, all the The Power of Two - 12. Timecode 01:22:56 01:23:04 Video MICHELLE OLSON 1966-1999 KAREN BELL 1971-1990 KELLY COLGAN 1982-2003 CHRISSY MILLER 1985-2006 TONY DIPROFIO 1969-2003 ELIZABETH NASH 1970-2003 SIOBAHN RYAN 1982-2008 CHARLIE STOCKLEY 1968-2006 EMILY HAAGER 1983-2010 BOB FLANAGAN 1952-1996 HAYLEY WESTER 1975-1998 Dialogue "Pink Ladies" were gone. And I thought, wow, that’s what happens? Basically we’re all heading towards extinction, you know, these little cliques of friends, one by one, dies. I mean, what a sad existence. And then I realize, you know, those that did die, well, camp was the most important part of their lives, because for one week a year, they were normal. [MUSIC] ISABEL I think, during our college years was a time where we started to lose friends to cystic fibrosis one after the other. Sometimes it was kids, sometimes it was older people. All around us, one at a time, our friends died, and that was a very overwhelming feeling. That’s the punishment for being the survivor. We have to feel the pain and the sadness and kind of the mystery of why did they go first, and we’re still here. The Power of Two - 13. Timecode 01:23:57 01:24:15 01:24:24 Video SANDRA AYALA 1982-1996 KERRY CANAVAN 1958-2006 ANA 01:25:10 01:25:26 ISA 01:25:42 ON JUNE 13TH 2000, JAMES DORN WAS PRONOUNCED BRAIN DEAD. MEMBERS OF THE DORN FAMILY 01:25:53 Dialogue ISABEL I’m glad that I can remember them and honor them and I’m glad that I knew these people and learned from them and I learned from their families after they’re gone how to go on in the world when you have lost someone. [MUSIC] ANABEL I never really had much expectation that I would live very long, or that my life would be so great. So when I found myself in very advanced stage CF I was really reflecting on what I had, and not what I didn’t have. I didn’t sit in a place of despair and lose hope. I think a lot of that had to do with the fact that transplant was offered to me. If I didn’t have transplant offered, then there would be nothing to do but prepare for one’s death. I was listed for a transplant in 1997 when I was 25 years old. At the time my lung capacity was about 30 percent so I was functioning on about a third of a normal lung. ANABEL And most importantly, my day to day functioning was more impaired. For example, my big event of the weekend would be going to the market. I would go to the grocery store, get my food for the week, come home and just, that was it, I was exhausted, that’s pretty much all I could do. ISABEL It helped me to be able to help her, by making dinner or you know, taking the garbage out because she was too short of breath to do that. Those simple things, I was her partner in life, going through end stage disease together. ANABEL The call came June 14th, 2000, right in the middle of the year, right in the middle of the month, and in the middle of the night. KRISTIN We got the call in the middle of the night The Power of Two - 14. Timecode Video KRISTIN DORN JAMES’S SISTER 01:26:06 BETH MARTINSON JAMES’S SISTER 01:26:17 01:26:32 01:26:44 DR. NOREEN HENIG TRANSPLANT & CF DOCTOR OF ANA & ISA 01:27:00 DR. SHAF KESHAVJEE HEAD THORACIC SURGERY TORONTO GENERAL HOSPITAL 01:27:33 Dialogue basically that we needed to be to the hospital. They asked us to donate, and we hadn’t decided, we decided that we were gonna make it unanimous, it had to be unanimous or it wasn’t going to happen. BETH I don't know if you’ve ever been in a room where somebody’s brain dead, but they’re not there anymore. They’re gone. And you can feel it when you walk in. KRISTIN There was no going back from that and he did not need his organs anymore. He was somewhere else completely, and why not give them to someone who needs them. ANABEL We went to the hospital within two hours, that’s the time frame that you’re required to go to the hospital for lungs. I got checked in and they do all kinds of tests on me to make sure that I’m ready for surgery. DR. NOREEN HENIG The individual who’s the recipient has to come in and be in good health and if you take their temperature and they have a temperature of 100, transplant’s called off. You know, so there’s lots of little things that can influence it. You have a little cold that day, it’s not gonna happen. DR. SHAF KESHAVJEE Treating the lung in the donor is somewhat cumbersome, it takes time, we don’t have that much time, always, and there are a number of issues that make it challenging, possible but challenging. The standard way that we preserve organs for transplantation is we cool them down, by cooling an organ down, you slow down the dying process, so instead of it dying at 100 percent rate, it’s dying at five percent rate. So you’re still rushing, but you’ve got some time. That is what made transplantation possible. ANABEL The Power of Two - 15. Timecode Video 01:27:49 AIR LUNG DAMAGE LATE STAGE CF 1998 01:28:15 POST-TRANSPLANT 2009 01:28:37 ISA ANA 01:28:46 01:28:50 01:28:52 01:29:13 01:29:26 Dialogue It took a while for all the preparation to happen and for the donors lungs to be removed and flown by helicopter here to Stanford. It was a nine hour surgery. I woke up in the ICU and the first thing I thought is wow, I’m alive. ANABEL Throughout my life, I’ve probably had over 800 x-rays taken of my chest. My x-ray would look very white, like a cloudy day in the sky. Doctors would look at the x-rays and give kind of a sad sigh, and it wasn’t until later where I learned black is air and white is lung damage. ANABEL Then suddenly I had a transplant and my x-ray was all black. And for the first time I was like wow, that’s air, and that’s only air. And I’m seeing the wires and the staples and all the medical technology that’s holding this foreign lung stapled in me, breathing for me. ISABEL We have this twin thing, if she shows her scar, I’ll show mine, if I show mine, she’ll show hers, so it’s okay. We have nothing to be embarrassed about. ANABEL Right, so here we go. And you have to like excuse the super padded bra. ISABEL Do we take that off too? ANABEL Absolutely, what would it be like if you just had a bra on. I don’t care. So, there you go. This is the transplant scar which goes under the breast bone and then these are the port a-cath scars where we had our infusions. And then I don’t think you can even see my chest tube scars, so I had some chest tubes as well. ISABEL So these are chest tubes, they look like gunshot wounds and then my main transplant scar goes across here. I think mine is darker than Ana’s just because keloid. ANABEL The Power of Two - 16. Timecode Video 01:29:50 01:29:58 ISA 01:30:12 01:31:05 01:31:12 01:31:29 01:31:44 Dialogue Because I was born with a bowel obstruction I had surgery at three days of age. In 1972, the surgeons attitude was this baby has cystic fibrosis, she’s not gonna live very long, so we don’t need to make the scar pretty. And, yeah, it doesn’t really stretch, so that’s why it looks like I’m fat on the top and the bottom. [MUSIC] ISABEL When I was first transplanted, one of my friends who was transplanted six years earlier, told me that when you go to special places blow bubbles, because you can honor your donor and you can see his gift in the bubbles. ANABEL And it’s a beautiful symbol of life, that life comes out of breath, and that life floats and is taken by the grace of wind, and it can take you in all different directions. It seems like throughout our whole life one of us has been strong when the other has been weak. And when we finally both had transplants we were finally both strong. And what a celebration. It was like the party was just beginning, and we had overcome this lifelong hard work of cystic fibrosis. And we were two kids in a candy store ready to make plans, run free, and have fun. ISABEL We were free, we did anything and everything we wanted. We were just each other’s best friends. [MUSIC] ISABEL And it was such a fabulous adventure. We went to places we never dreamed we could go to. I’m nine months post transplant, I’m at the Grand Canyon at 7,000 feet elevation. I can’t believe I’m here. ANABEL It was almost like pinch me, is this real? This sense that nothing would hold us back. It was magical. It was redemption. When we started to speak to drug companies and doctors and The Power of Two - 17. Timecode Video 01:32:12 01:32:29 01:32:40 01:32:48 01:32:58 REDWOOD CITY CALIFORNIA Dialogue nurses and conferences about living with cystic fibrosis people validated us and loved our story and wanted to hear more. That encouraged me that I had something to say. ANABEL Isa and I had decided to write a book more as our own sense of documenting our lives, we set out to organize our own book tour, by calling book stores, by calling cystic fibrosis centers, and driving across the country. ANABEL We wanted to leave reflections of what we learned and what we experienced and the emotional and mental growth that cystic fibrosis gave to us. WOMAN Isabel Stenzel Byrnes and Anabel Stenzel. [APPLAUSE] ISABEL So after two years, “The Power of Two” in English was translated into Japanese and became “Mirakuru Tsuinzu.” ANABEL [SPEAKING JAPANESE] When you’re running, you can hear your breath. That breath is your life. As long as you can breathe, there is nothing you can’t do. 01:33:16 01:33:27 01:33:30 01:33:31 ANABEL So we’re here 10 days before we leave to our trip to Japan, and we’re having a dress rehearsal of our speeches. Keep in mind that we’re half Japanese, so we speak half assed Japanese. ISABEL I think I just deleted all the extra medical things. ANABEL Yeah. ANABEL The Power of Two - 18. Timecode Video 01:33:54 01:33:59 01:34:12 01:34:36 01:34:49 01:35:07 ISA Dialogue Initially we had decided to go, just Isa and I, as a trip to go and talk about our book and maybe tour around, visit family. And then it completely changed into much more of a professional opportunity with more than 19 speeches that we’re giving, with 10 cities that we’re visiting, and I feel like the expectations are very high. ISABEL It’s purely a cultural problem in Japan that organ donation is not popular. ANABEL And this is a country who has excellent medical care. And I know that the way that Japanese culture deals with death and transplant and organ donation is very different from us. ISABEL It’s not fair that because we were born in America we had the chance to receive transplants. It’s not fair if we had been born in Japan we would have died of that disease. This is about dozens of people in Japan and in America who are kind of mobilizing us to go and be spokespersons for this cause. ISABEL I’ve never been away for one month post transplant, and I’m healthy, but it’s still a little scary because I fear problems, of course when you’re far away from your transplant center it just, it gets scary. ANABEL With any transplant patient we always take a long time to prepare for our trips. This is my repertoire of medications. After transplant its primarily pills. I do still have cystic fibrosis, um, I do still have plenty of gastro intestinal problems, to remind me that I have cystic fibrosis ISABEL So, the TOBI, and the Ultrase, the enzymes, some of the vitamins I’m taking because of CF, and the rest are mostly immunosuppressant’s because of the transplant, but also medicines that I have to take to counter the side effects of The Power of Two - 19. Timecode Video 01:35:25 01:35:38 01:35:46 01:36:10 01:36:49 01:36:52 01:37:03 ANA Please donate for heart transplantation. Goal: 140 million yen $1.6 million U.S. dollars ISA UNITED STATES OF AMERICA 307,000,000 28,500 JAPAN 127,000,000 193 JAPAN 01:37:46 CHINA Dialogue those immunosuppressant. ANABEL I don’t this to stress me out so much that I get sick. To be honest, I’ll just do my best. I’m gonna do my best, I’m gonna enjoy and I’m gonna remember that most important it’s gonna be about having fun. ISABEL We just realized we have to do exactly what we want, taking the appropriate precautions, and go and live. [MUSIC] ANABEL When I’m in Japan, I love it there. It’s clean, people are kind, people are polite, they’re courteous. So I, I do go back with certainly nostalgia, fondness, appreciation of my mother and her family. But also a yearning for more. While Japanese culture undoubtedly has incredible strengths, there are certain aspects in the organ donation picture that are a little bit more difficult to understand. [MUSIC] MAN [SPEAKING JAPANESE] I ISABEL In Japan, if you need a transplant you have to wait a very long time, 20 years for a kidney, six years for a heart. Four years for a lung. This is because there are so few Japanese organ donors. In America, out of approximately 307,000,000 people. Nearly 28,500 organs were transplanted in 2009. When you compare that with Japan, which has a little less than half of the population of America, only 193 organs were transplanted in the same year. This places Japan at the bottom of the list of industrialized nations for transplant. ISABEL Some actually pay for the organ by going to China. The Power of Two - 20. Timecode 01:37:51 Video PAKISTAN UNITED STATES OF AMERICA GERMANY AUSTRALIA GREAT BRITAIN. 01:38:14 01:38:34 01:38:41 Today we welcome twin guests from the United States, Isabel Stenzel and Anabel Stenzel. -Hello. 01:38:41 -Hello. 01:38:43 They are the Miracle Twins, famous among transplant recipients in the U.S. Their book has recently been published here in Japan, and now they’re on a speaking tour across the country. How is it going? This visit is special. We’ve met people, spoken from our hearts, and shared complex feelings. NATIONAL DIET OF JAPAN JAPANESE PARLIAMENT, TOKYO 01:38:03 01:39:21 Dialogue ISABEL Or Pakistan. Some raise money to pay for medical expenses here in America. Unfortunately, Germany, Australia, Great Britain have closed their doors to the Japanese. They say you have the money, you have the technology, you find your own donors. We have friends who are raising money by standing on street corners with a box saying please give money for transplant ANABEL It’s a situation I could never have imagined when I was waiting, cause at that point all I wanted to do was breathe, I couldn’t even imagine fund raising. It’s unbelievable what the Japanese have to go through WOMAN [SPEAKING JAPANESE] ANABEL [SPEAKING JAPANESE] ISABEL [SPEAKING JAPANESE] WOMAN [SPEAKING JAPANESE] ISABEL [SPEAKING JAPANESE] ISABEL The people in Japan have been extraordinarily receptive to our visit. And have planned unbelievable amounts of engagements, and we’re so thankful to them. The Power of Two - 21. Timecode 01:39:37 Video TARO KONO DIRECTOR GENERAL LIBERAL DEMOCRAT PARTY 01:40:35 01:40:37 01:40:52 DR. TOMOAKI KATO ASSISTANT PROFESSOR OF SURGERY COLUMBIA UNIVERSITY 01:41:15 01:41:22 Early this morning, the first heart transplantation in Japan was performed at Sapporo Medical University Hospital by Professor Juro Wada Dialogue TARO KONO My father had a Hepatitis C virus, he was a former Deputy Prime Minister, and former foreign minister. He was very famous. In 2001, he was hospitalized and doctors told us if we do the liver transplant, that’s probably the only way to have him live longer than six months. I gave a third of my liver to my father, so we decided to go public, even before the operation. And the operation was successful. So he’s now healthy. Wherever he goes, I mean, people know that he had a new liver, and he’s now very healthy. And then I realized, if we can do organ transplant operation from the brain dead people, we don’t actually have to cut the body of the healthy people. [MUSIC] ISABEL The Japanese believe that death happens when the heart stops. So the idea of the brain dying first, while the heart is beating, when a person is on life support, it’s very difficult to understand. DR. TOMOAKI KATO If you asked right now, do you really want to get a transplant, or do you want your child to have a transplant, most people would say yes. But if you ask the different question, such as, if your child is brain dead, would you consider organ donation, I can bet you the answer would be no in 80 percent, or even 100, close to 100 percent. ISABEL Japanese society has been sort of spoiled by a negative incident in transplantation in the 1960s. REPORTER [SPEAKING JAPANESE] The Power of Two - 22. Timecode 01:41:32 Video and 20 staff members. DR. KAZUTOMO MINAMI DIRECTOR, CARDIOVASCULAR SURGERY NIHON UNIVERSITY SCHOOL OF MEDICINE 01:41:50 01:42:04 01:42:16 01:42:30 DR. SATOSHI TERAOKA JAPAN SOCIETY FOR TRANSPLANTATION In addition to Dr. Wada’s role as a transplant surgeon he was also the one who pronounced the donor dead. This is a big violation of the rules. Dr. Juro Wada was charged with two counts of murder. 1. Killing the donor by removing his heart. 2. Causing the premature death of the recipient with Dialogue DR. KAZUTOMO MINAMI I was a medical student as he performed the first heart transplantation in Japan. You know, he, he was my mentor, and I was very impressed. But, it’s a very big problem with that event in 1968 with Dr. Wada. ISABEL After the transplant occurred investigation found that this was not an ethical situation. The patient was not brain dead, and the patient who received the organ was not at the very end of his life. DR. TOMOAKI KATO There was very much of a big media coverage, when the recipient died at the end, and after the recipient died a lot of suspicion was raised from the public. DR. SATOSHI TERAOKA [SPEAKING JAPANESE] [MUSIC] The Power of Two - 23. Timecode Video Dialogue unnecessary cardiac transplantation He was eventually acquitted. 01:42:46 01:42:57 01:43:45 01:43:45 01:43:56 DR. TOMOAKI KATO So that was a big setback. From that time for almost, almost 30 years, there was no official brain deaths donors. DR. SATOSHI TERAOKA [SPEAKING JAPANESE] In 1997, a law was passed allowing organ donation from a brain dead person. Up to now, there have been 65 heart transplants, 63 liver transplants, and 59 lung transplants. In 10 years, this is all of the organ transplants we’ve managed to do. So, the number of people who can receive transplants is extremely limited. Many people could be saved through transplant, but die waiting for organs. That is the current situation in Japan. DR. TOMOAKI KATO ORGAN DONATION That law, in 1997, made it very strict was that DECISION CARD you have to have the signed donor card. Prior to the brain death time. DR. KAZUTOMO MINAMI In America or Europe, you can give the donors without donation card, if the relatives say okay, we want. But in Japan, it was not allowed. ANABEL There is a belief in Japan that all things from nature are perfect the way they are, and that means that your body, when it’s sick, and when it’s dying, is just the way that nature intended. And so taking an organ from someone who has The Power of Two - 24. Timecode Video 01:44:20 For Japanese people, it has long been thought that talking about death brings back luck. People don’t really think about what would happen if they were to die. Thus, the Japanese don’t often write wills. So, people don’t really say that they’d like to donate organs when they die. But as you know, all life comes to an end. So at some point we’re all going to be met with death. When we are met with death, organ donation is one of the choices we can make. NAMIE NAMIE NAKAZAWA [SPEAKING JAPANESE] JAPANESE TRANSPLANT ADVOCATE 01:45:02 01:45:23 01:45:31 My son’s name was Sotaro. His heart started to fail in Japan, and he needed a heart transplant. If he didn’t go to America, he would not have been able to get the transplant in Japan. My son needs a heart transplant as soon as possible. We ask for your support. Please help him. We reached our goal of Dialogue died and putting it into someone who is sick, is totally against nature, and cannot be supported. DR. SATOSHI TERAOKA [SPEAKING JAPANESE] MAN [SPEAKING JAPANESE] NAMIE The Power of Two - 25. Timecode 01:45:54 01:46:08 01:46:31 01:46:35 01:46:40 01:46:55 01:47:07 01:47:14 Video $120 million yen- ($14 million U.S.) On December 5th, 2008, we went to America, and on December 10th, he passed away without receiving a transplant. TARO KONO DIRECTOR GENERAL LIBERAL DEMOCRATIC PARTY Sotaro was not able to receive a surgery in Japan. So, when I thought of ways children could get a transplant in Japan, I worked on changing the transplant law, by collecting signatures and speaking to assembly members. Please vote for the organ transplant law. I am for. I am against. The total vote is 220. There are 138 supporters. Therefore the law has been passed. In July 2009, the bill (plan A) was passed, which revised the transplant law. Dialogue [SPEAKING JAPANESE] TARO KONO Every year we had to listen to ten cases of donation from the brain dead people, so only less than one percent of people actually sign up. We need to change the law NAMIE [SPEAKING JAPANESE] MAN 02 [SPEAKING JAPANESE] PEOPLE [SPEAKING JAPANESE] MAN 02 [SPEAKING JAPANESE] NAMIE [SPEAKING JAPANESE] ISABEL So this was a milestone law. This was a huge change for a country that has generally been against organ donation. ANABEL Plan A, is allowing a different definition of brain death, as death, for families who choose organ The Power of Two - 26. Timecode Video 01:47:26 01:47:32 01:47:39 01:47:58 JAPAN TRANSPLANT GAMES FUKUOKA, JAPAN Dialogue donation at the time of a tragedy. ISABEL It also would legally allow children who died and became brain dead to donate their organs. TARO KONO So now the door is open, are we going to enter the room, that’s the key issue. DR. TOMOAKI KATO So it’s really not the law anymore, it is really truly the Japanese people’s acceptance of organ donation. MICHIKATA [SPEAKING JAPANESE] How is everyone? Yes, having energy is the best. MICHIKATA OHKUBO 01:48:19 01:48:51 I am truly happy that many donor families are here today. It is wonderful how the number of donor families in attendance increases every year. ISABEL ISA I went to the Japan Transplant Games and it’s literally about 1/15 of the size of the United States Transplant Games, but the power was still there. In the beginning people were a little bit shy, Japanese style, and then within a few hours everybody opened up and just became a very bonded close knit community. People would ask, what kind of organ do you have and where are you from, and things like that. And we just felt a sense of family, immediately. ANABEL ANA Everyone at the transplant games in Japan can participate, not only the recipients themselves, but the donor families and the healthcare The Power of Two - 27. Timecode Video 01:49:00 01:49:06 01:49:21 This photo portrays the farewell party we had for my daughter Rie. KAZUYUKI TANAKA DONOR FAMILY REPRESENTATIVE She suffered from brain death due to an automobile accident. The doctor told us that she will not recover. So, we accepted her fate. At the age of 27, before she could even marry and have children, we wondered what the point of her life was. And the next thing I know, my eldest daughter told me that her sister carried a donor’s card. I asked her what it was. I soon learned that the holder of the card signifies their willingness to donate if they become brain dead. Seven of her organs are glistening like jewels throughout the country. In this way, Rie is not really dead. Therefore, we have no regrets Dialogue providers. [MUSIC] ISABEL At the welcome party I met a very dynamic donor father who sadly lost his daughter about nine years ago at the age of 27, and he loved to share his story. KAZUYUKI TANAKA [SPEAKING JAPANESE] The Power of Two - 28. Timecode Video whatsoever for signing this card. 01:50:36 01:50:52 01:50:58 01:51:06 01:51:17 01:51:26 01:51:44 01:51:59 ANA We are told that if we were in America we would be considered heroes. Donor families are heroes there. That is what I have heard. But as of now, donors and their families are not valued in Japan. Dialogue WOMAN Go Ana, go Isa! ISABEL It was remarkable to swim alongside another Japanese lung recipient. I honor the Japanese more than the Americans in many ways, because they had to wait 17 years, 20 years for a kidney. ISABEL It’s wonderful to just swim together with Japanese. We’re all doing our best. ISABEL It’s such a celebration when we are near death and then resurrected by organ transplant. ANABEL It’s a very small community of people, but those people are rockets and those people are moving transplantation forward in Japan, amidst a lot of resistance. [MUSIC] KAZUYUKI TANAKA [SPEAKING JAPANESE] ISABEL All of these people worked so hard and they’re so passionate, and they are the ones that are going out into their community, thinking strategically about how do we get this message out there, how do we get out there to care about organ donation. Our lives were saved by ANABEL lung transplant. Today [SPEAKING JAPANESE] you are running or life. You are raising awareness for The Power of Two - 29. Timecode 01:52:26 01:52:53 01:53:25 01:53:35 01:53:43 01:54:00 01:54:27 01:54:34 Video Dialogue transplantation. You are showing Japan how wonderful organ transplantation is. ANABEL We were connected with people with chronic illness, we connected with donor families who were grieving, and I’m hoping that our presence in Japan influenced other recipients to come forward and say thank you, and to show donor families, look, you’ve done something great, and don’t be ashamed, it's okay. It’s okay, you did something good. [MUSIC] Since you are twins with WOMAN the same disease, I am sure there are times when you are glad you have each other. Of course. We are ISABEL twins, so there is a [SPEAKING JAPANESE] bond [MUSIC] We are twins, but in ISABEL reality there are four. [SPEAKING JAPANESE] Our donors are here too. So it’s double energy. Double, and double. We would like to convey that to the world. Life continues. Organ transplantation connects people beyond race. [MUSIC] Death is always close ANABEL by and we don’t know if [SPEAKING JAPANESE] we will grow old together. So, I can’t believe the miracle we have today, being together as adults. We are still together and The Power of Two - 30. Timecode 01:54:57 01:55:10 01:55:21 Video that is what is important. Ana and I truly support all of your efforts to raise awareness about CF in Japan CF BENEFIT CONCERT SENDAI, JAPAN 01:55:27 01:55:47 01:55:58 01:55:50 My son has cystic fibrosis. What’s his name? Akihiro. He was diagnosed when he was 6 months old. It’s very rare among Japanese. A recent report by the Japanese government shows that only about 30 people have been diagnosed with CF in the last 10 years. TOMOAKI ADACHI FATHER OF JAPANESE CF PATIENT We are not legally permitted to use drug treatments that are being used in Europe, Dialogue [MUSIC] ISABEL [SPEAKING JAPANESE] [MUSIC] ANABEL I’ve waited 37 years to meet another CF family in Japan. To see the Japanese people coming together as a community for charity, for purposes of learning from us how to advocate for the patients and families with cystic fibrosis, it shows they care. [MUSIC] TOMOAKI ADACHI [SPEAKING JAPANESE] MAN 02 [SPEAKING JAPANESE] TOMOAKI ADACHI [SPEAKING JAPANESE] The Power of Two - 31. Timecode 01:56:27 01:56:40 01:56:52 01:57:17 01:57:27 Video Dialogue the U.S. and elsewhere. So, the situation in Japan is similar to that of the United States 30 years ago. The majority of patients with CF die in their teens. ISABEL To learn that Mr. Adachi’s son never went to middle school or high school, or college, that is a personal story that shows me how Japanese CF patients live ANABEL To see the malnourishment, the lack of any kind of expertise and vision of health. It just broke my heart. ISABEL Tonight, it struck me, that these people don’t really have the choice of lung transplant, and for a second it hurt, what right do we have to still be alive, why are we still alive when, you know, most of the world’s CF patients don’t live. And so I was reminded, what would I be like in my life if I had no choice of transplant. ANDREW ANDREW BYRNES Since I’ve been with Isa, she has nearly passed ISA’S HUSBAND away twice. The first time was the day before her 30th birthday in 2002. ISABEL I had had a massive life threatening lung bleed. And I was put in the hospital, I was on a ventilator, I lost a ton of blood, my lung capacity just dropped like 15 percent. I became oxygen dependent. I remember bleeding in the middle of the night, and then coughing into this bin that was filled with blood. And then somehow the nurses and doctors left, and I was in the room in the dark, and I started just crying and crying, like this is it. What a miserable existence, I can’t breathe, and I’m gonna bleed to death. And of course, then I start thinking, if this bleeding stops, I’m going to get listed for a transplant, I’ll be eligible, and then I’m gonna get a transplant, The Power of Two - 32. Timecode Video 01:58:22 01:58:42 01:58:52 01:59:45 01:59:51 DR. NOREEN HENIG TRANSPLANT & CF DOCTOR OF ANA & ISA Dialogue and then I’m gonna be like Ana, and be able to hike and run and swim, and I might die in the process, but at least I’m trying. I wanted more time because, yes, 30 is a good life span, but it’s not enough. ANDREW BYRNES In early 2004, Isa went to the hospital at Stanford and she just wasn’t getting any better. This was something we had never experienced before, this wasn’t the usual, get sick, go to the hospital, get well, and leave. And so over the ensuing days she was really unable to get up. DR. NOREEN HENIG It was incredibly touch and go and there was really nothing we could do to make it better. It was just always about hanging on. ANDREW The focus at that time was her oxygen saturation, 100 percent is perfect, and then obviously down from there, and that was sort of the measure, because if her lungs were really, really damaged, then even if she’s able to breathe in, if she’s not absorbing it, it doesn’t matter. I remember that there was one time where the saturation levels were very bad. She was so out of it, and sort of childlike in a certain way and so the respiratory therapist and I told her, oh, it’s, we didn’t tell her what the numbers were, we said, oh, it’s really, oh yeah, you’re doing great, you’re doing great. And it sort of was that environment where you knew, you knew that it was, that she was gonna die. And you wanted her to, to feel as good as she could feel and you wanted to tell her that it would be fine. [MUSIC] ANDREW I mean, she had this sort of tone of voice that was just this ethereal, it was her, but it wasn’t her saying that there would, there would be a miracle. That day, people started to arrive, my parents started to arrive, her parents, friends, The Power of Two - 33. Timecode 02:00:09 02:00:29 02:00:51 02:01:03 02:01:42 Video Dialogue family, in the waiting room we dubbed it camp Isa. DR. NOREEN HENIG They hung these beautiful prayer flags that you associate with Mount Everest climbers all over, and people had written these incredibly personal notes, and just this incredible love and commitment to her. ANDREW Isa started to sort of run in place, she was laying down on her bed, but she was running in place, and calling out names of people who had passed away, and Ana and I were sort of huddled in the corner holding each other and crying, because it would seem to be that this was going to be it. We were waiting and praying and hoping for a transplant, which was not likely. DR. NOREEN HENIG She was not the first person on the list, and I was kind of told that and my heart sank, you know, because it seemed to incredibly close and yet it was so far. ANDREW We were preparing for a funeral, but hoping for a miracle. In the mid afternoon of that day, I went in, and I think Ana had gone in kind of with me, and Isa started, I mean, of course since she had CF, you know, the stuff, the junk and mucus continues to build up in your lungs, and so that needs to be cleared out, but if you, if you’re basically just laying there, then you can’t cough it out. So they were trying to suction her and there was something that was not going well with that, and so the doctors came in and kind of ushered us out, ushered Ana and me out. ANDREW And before we left, Ana told Isa, it’s okay, you don’t have to fight anymore. And Ana and I got into a big fight in the waiting room about that because I said, no, she has to fight, she has to. She has to fight, we have to be together. As The Power of Two - 34. Timecode Video 02:02:17 ON FEBRUARY 4th 2004 XAVIER CERVANTES WAS PRONOUNCED BRAIN DEAD AS A RESULT OF A CAR ACCIDENT 02:02:22 02:02:40 02:02:55 01:03:24 02:03:51 DR. BRUCE REITZ TRANSPLANT SURGEON OF ANA & ISA Dialogue we’re fighting, we see these doctors coming down the hall, and they said, we have lungs for Isa. [MUSIC] ISABEL Two months before he died he told his mother, if anything ever happens to me, I want to be an organ donor because I want to help people. And so she knew that when he had his car accident. And when his brain death diagnosis came, they knew what he wanted. DR. BRUCE REITZ When she actually went to the operating room, there’s no doubt, she was just within 12 hours or so of death. This probably more than any case I can remember was one where we were right on the edge of going either way. ANDREW In the morning at about seven or eight, they told us that the lungs had arrived, and they were gonna start the transplant and I went home to sleep a few hours. And when I got back, she had been transplanted. Now granted, she had tons of tubes and she looked like she had been hit by a truck, but she was pink, and she was breathing. And she never would have been that way had she not had the transplant. [MUSIC] ISABEL These are my favorite pictures. So at Stanford Hospital, after a lung transplant, you are invited to see your own lungs as a way of closure to see what happened to them and kind of understand physically why you needed a transplant. And so ironically the room is called the gross room. And two weeks after my transplant I was wheeled over there and I got to The Power of Two - 35. Timecode 02:04:47 02:05:24 02:05:34 02:05:35 02:05:37 02:05:38 02:05:39 02:05:40 02:05:45 02:05:48 02:05:54 02:06:02 Video Dialogue see these grotesque, brown, crumbled, sliced up, scarred lungs that were grossly oversized because I had been breathing so hard. If I can show you the pictures. These are the pictures of my lung tissue and the pathology report said no evidence of functional lung tissue remaining. So I really was at the end of my life. There was nothing more I could have done. ISABEL I still identify as being someone with cystic fibrosis, this disease got me to where I am. Because of CF I needed a transplant, because of CF I still take lots of medication, I still have to limit my choices in life so I can be healthy in the long term. I still have this impending cloud of doom over my head, of when am I gonna die. [MUSIC] ISABEL Since I’ve lived with cystic fibrosis for 38 years, I feel like I’m a professional patient. Hi, I have an appointment for my annual, Isabel Stenzel Byrnes WOMAN Your last name please? ISABEL Stenzel Byrnes. WOMAN This is for a transplant? ISABEL Yes, lung. WOMAN Just one moment. ISABEL Thanks. WOMAN You can have a seat, we’ll call you back shortly. ISABEL Okay. Okay, thank you very much. ISABEL When you’re a patient, the most important thing for a doctor and a nurse and a respiratory therapist is that you trust them. WOMAN 02 The Power of Two - 36. Timecode Video 02:06:11 02:06:16 02:06:33 02:06:51 02:06:57 02:07:09 ISA 02:07:23 DR. SHAF KESHAVJEE HEAD, THORACIC SURGERY TORONTO GENERAL HOSPITAL 02:07:41 ANA 02:07:55 DR. DAVID WEILL TRANSPLANT & CF DOCTOR OF ANA & ISA 02:08:05 Dialogue Your oxygen saturation’s at 100, your pulse is 70. Follow me. NURSE 01 Nice and clean, that looks alright. [MUSIC] NURSE 02 Okay, no problems with heparin, right? Push down, push down. ISABEL So, Jim, I’m kind of nervous, I hadn’t had a PFT in five months. RESPIRATORY THERAPIST We’ll get it. Big deep breath in, blow it out, further, further, further. Breathe in quick. Looks good to me. ISABEL I went to the doctor for the first time after Japan and for some unknown reason, my lung capacity increased seven percent, so it’s now 123 percent of normal. And I don’t understand that. DR. SHAF KESHAVJEE When you see what happened to the twins you realize that it’s a phenomenal miracle. These two people who would have been dead of their underlying lung disease have been given a new life. Transplantation is actually a very abnormal, or unusual solution to the problem of organ failure. ANABEL In 2006 I was jogging and I felt a little tight like I was having asthma. So I called my doctor and said, something doesn’t feel right, and can I get checked, and it turned out that I had acute rejection. DR. DAVID WEILL So she got to the point where her lung function started to decline, she got sicker and sicker, and then she looked very much like she did before her original transplant. ISABEL When Ana went into rejection it was really traumatic, because we realized that this is all so The Power of Two - 37. Timecode Video 02:08:13 02:08:31 02:08:48 02:08:53 02:09:06 DR. BRUCE REITZ TRANSPLANT SURGEON OF ANA & ISA 02:09:23 02:09:56 02:09:57 EUGENE OREGON Dialogue temporary DR. SHAF KESHAVJEE Our lungs weren’t programmed to be taken out of one person and put into another person. And so when you do that the recipient will always see those lungs as foreign. So your immune system attacks those lungs and slowly, slowly attacks them over time. ANABEL It was like suffocating, it was, my body couldn’t adjust to it. When I lost 70 percent of my lung capacity in eight months, I met Trent, who is now my fiancé. He never knew that two months into our relationship he’d be pushing me in a wheelchair. It was that fast. DR. DAVID WEILL So then we made the decision to do a retransplant on her and a re-double lung transplant. ANABEL On July 13th, 2007, I was called for my second transplant. Majority of people don‘t get second transplants. You can count them on your fingers and toes, it’s pretty rare. DR. BRUCE REITZ The second one was more difficult for us, and I think was probably more difficult for Ana as well. Her will to live, her motivation was sky high, and enabled her to be a second lung transplant survivor, which is an elite group, that’s for sure. ISABEL It seems unreal that Ana got a second transplant, because she went downhill so quickly, got her transplant again and went uphill so quickly, and went on with her normal life. We learned that there will always be fear about what comes next, but when you’re aware of that fear, you realize that you cannot let it immobilize you ANABEL Hi KRISTIN The Power of Two - 38. Timecode Video 02:09:59 02:10:05 02:10:26 KRISTIN DORN JAMES’S SISTER 02:10:42 02:11:12 02:11:53 02:11:58 02:12:05 BETH MARTINSON JAMES’S SISTER Dialogue Hi. ANABEL Good to see you. ANABEL I think it’s always meaningful to come to James’s hometown. When I’m here I feel his presence. Obviously I don’t have his lungs anymore, so there’s some mixed emotion, there’s some, truthfully, some shame about what happened, that I lost his lungs, but they will always hold a special place in my heart. KRISTIN I know Ana feels guilt, I’ve seen it in her emails, I know that. And I’ve told her over and over and over, she shouldn’t feel that way, but, it’s something she has internalized and you know, I guess only she can work that out. ANABEL You gave me the best six years of my life, and I will always remember that, even on my death bed, whatever happens in the future that I’ve lived so hard for James and I climbed mountains, and I breathed at the top of a mountain with his lungs, and I felt it go to my feet when I took a deep breath, and I was nonstop, I, I think I took two naps in six years. BETH I mean, look at what she’s accomplished with James’s lungs when she had them. How could we feel negative over the fact that it was a biological thing, nothing that she had any control over, just like she had no control over the cystic fibrosis. We donated his organs with no strings attached. There’s more out there than we know, and James was her bridge to get to where she is now. Thank you. And that’s what God needed right then was for her to have that bridge. [MUSIC] KRISTIN It’s not that hard to do what we did, and that it makes a huge difference. BETH The Power of Two - 39. Timecode 02:12:20 02:12:23 02:12:41 02:12:46 02:12:58 02:13:08 02:13:09 02:13:09 02:13:10 02:13:14 02:13:22 02:13:24 02:13:25 02:13:26 Video Dialogue They used his heart, his lungs, both his kidney’s, his liver, his pancreas, and the eyes, the cornea of the eyes. So, a lot. [MUSIC] ANABEL And I think it’s a little bit, somehow she had learned the name. They had mentioned that they are in contact with Doni, the pancreas recipient of James who happened to live in Maryland. Within three days of reaching out to her, we had it planned to meet. ANABEL I think I’m gonna ditch the sunglasses. I like to see who I’m seeing. ANABEL I was actually not nervous at all, I felt very open to it. I didn’t have any expectations. I felt very positive that this would be something good. ISABEL I think Ana was excited to meet Doni Bell, I think it was such a great connection to just be reunited with another part of James’s legacy. ANABEL Hello. DONNIE Hi. ANABEL Are you Doni? DONNIE Hi, how are you? I am. Are you Ana? Hi, nice to meet you. ANABEL There was just a lot of acceptance. I was in a mood of just going with the flow and learning as much as I could about Doni DONNIE I think I’m gonna swim, I am, I just got my medical waiver cleared. ISABEL Awesome. ANABEL Good. ISABEL The Power of Two - 40. Timecode Video 02:13:27 02:13:34 02:13:53 02:14:00 02:14:19 02:14:47 02:14:55 02:15:11 02:15:16 02:15:28 02:15:36 ANNA MODLIN CF PATIENT Dialogue That’s great. ANABEL It means so much to the Dorns to have both of us correspond with them, and know that a part of James has lived on. ANABEL I had no doubt that meeting you would be this very comfortable easy connection and then of course, having James’s spirit in us, just feeling like wow, you know, this is like another sister. And my name’s Anabel, this is Isabel, and here’s Doni Bell, you know. ANABEL Isa and I invited Doni to go with us to the National Donor Memorial in Richmond, Virginia. [MUSIC] ANABEL In a way it was like a pilgrimage to a Mecca, because this is the place where our country gives tribute to all the people who have said yes to organ donation. And it’s a place to memorialize and remember and honor their gift of life. To be at the National Donor Memorial with Doni was unbelievable. Not a day goes by that I don’t think of my donors. ANABEL I wish I had a piece of paper and a pencil, to sketch it. Yeah. ISABEL Doni and Ana are friends because of James, and so, here is this person who no longer exists, he died 10 years ago, but because of his gift, and because of his story, Ana and Doni now have a story together. [MUSIC] ANABEL In a way, James represents both my donors, because my second donor, I have no idea about this person, at all. In essence, both of them are similar, they both saved my life. [MUSIC] ANNA The day that I got the phone call that I was on The Power of Two - 41. Timecode Video 02:16:09 02:16:12 02:16:37 02:16:39 02:16:57 02:17:04 02:17:19 ROBIN MODLIN ANNA’S MOTHER Dialogue the list, um, I looked at my cell phone and it said withheld, and withheld means that it’s from Stanford, and I was like, oh, this is it. So I answered it and, um, the usual woman that’s supposed to call you wasn’t in that day and so it was a different nurse, and she’s like Is this Anna, and I was like yes, and she’s like, well, it came through, and the only thing I said, I was like holy shit, and I was like oh my God, I’m so sorry, I’m so sorry. [COUGHING] ROBIN Oh, let’s get the tissue. ANNA My health in the last year has changed pretty drastically. My cough has gotten a lot deeper with the more intense lung disease it’s just, I cough and cough and cough till I can’t breathe and then you turn up the oxygen, take a deep breath and it’s just, it’s so exhausting. Talk amongst yourselves. ROBIN Okay. ANNA I had to switch my means of therapy from using the vest, which I did independently to percussion therapy, which is where I’m dependent on another person to beat on my back to loosen up the mucus so that I can cough it out. ROBIN We have to really beat hard, it’s like beating on a ketchup bottle. And so we’re back again where we were in the beginning. ANNA My life exists as CF, that’s all it is at this point, is just treatments and medicines and eating and sleeping, that’s pretty much it. So that’s how you know when you need a transplant. ROBIN A year ago today I don’t think I would have thought that we were at the place of, of transplant where we are today. I knew the transplant was gonna be in the future, and I The Power of Two - 42. Timecode 02:17:46 02:18:23 02:18:46 02:19:12 02:19:18 02:19:45 Video Dialogue knew it was our great hope, but I didn’t know that it was gonna come so soon. ANNA So what it means to be on the list, how they figure out who gets a transplant, is you’re divided up, not only by your blood type, because the way that they match lungs is blood type, as well as size, and then in terms of that, then they also go according to your lung allocation score, and your lung allocation score is anywhere from zero to 100. But there’s a certain window, which is called the transplant window, which is where you are sick enough to need a transplant, but healthy enough to survive a transplant. So you’re a good bet, that’s kind of what they want. ANNA So with my score of 37.7, blah, blah, blah, that’s right in that window, it’s right in the sweet spot where I’m just sick enough where I need it, but I’m definitely not too sick where I’m not gonna survive it statistically speaking. So that’s where I am on the list. Sitting and waiting. ROBIN So, the idea that we’re gonna go into another chapter, and there’s gonna be no more CF lungs because that is the center of CF, that has to do with all the treatments and the coughing and, and that’s not gonna be there anymore, that’s, that’s a huge, huge change. ANABEL Hello. How are you? ANNA Now that I’m listed, the whole support network has to be put in place, including my family and surrounding friends, and Ana and Isa have volunteered that they will be there in that network. I was not in an acceptance of my illness last year. I was really fighting it, and really embarrassed by it. And like I failed. It’s actually more hopeful now then when I was a little bit healthier. ANABEL The Power of Two - 43. Timecode Video 02:19:45 02:19:47 02:20:16 02:20:35 02:20:37 02:20:38 02:20:39 02:20:56 02:21:14 02:21:29 ROSE PARADE PASADENA, CALIFORNIA Dialogue Right. ANNA Cause there’s actually a chance. ISABEL Getting a transplant is all about redemption, so you’re working your ass off right now, and you’re tired, but you’ve got to do your treatments, and you’ve got to eat, and you’ve got to go to the doctor, and take care of yourself, work so hard, both Robin and Anna, but my prayer and hope is that you will be redeemed by this life, where you get to complain about being tired because you’ve just been traveling too much. ANABEL We’ve paid our dues by dealing with end stage CF, where air is so desired, and when you work through that and then you get rewarded by transplant, you can always look back and feel like you climbed that mountain and that you paid your dues and nobody can ever tell you…. ROBIN (interrupting) You deserve every bit of goodness that’s coming to you. ANABEL Exactly. ROBIN Yeah, and you do. ANNA When you’re listed you kind of feel like you’re straddling a fence, because you’re hoping to go to the other side of transplant and not have this anymore, but you’re still fighting the day to day struggle, because you can’t let up until it’s time. [MUSIC] ANABEL Being at the Rose Parade for the Donate Life float, it always reminds me what an incredible fortunate society we have to celebrate the gift of life on such a national and international level. ISABEL The Power of Two - 44. Timecode Video 02:21:59 02:22:12 02:22:34 02:22:53 02:23:11 02:23:31 ANA 02:23:54 02:24:02 ANA Dialogue There were so many different people decorating who were donor families, recipients, volunteers. There was a tower of all the flora graphs, all the faces of people who died and gave life to recipients like us. For the last three years I have dedicated a rose to my donor, and also to Ana’s donor, just as an act of celebrating this moment. [MUSIC] ANABEL When I saw all of the riders on the float, it tells me that this is a gift of life that many, many people are experiencing and it is so deeply emotional and so deeply shared as a ying and yang experience of grief and hope and love and sadness. ISABEL Today it seems so celebratory, even the donor families are celebrating that their loved ones are remembered and 40 million people will watch them on TV. Their loved ones physically died, but through donation they continued to live in the hearts and minds of all of us. [MUSIC] ISABEL You know, Xavier would be 24 years old right now. That’s the prime of his life, he is in the upmost health in his health, in his cells, he is still growing with me. Every joy I have, every sorrow I have, he’s part of that journey. ANABEL Knowing that it’s gonna be 10 years since the passing of James Dorn, I think about where would he be now. He would be 39 years old. And so there’s a lot of mixed emotions as I go into this new decade of thinking wow, I wouldn’t be here without James, and I wouldn’t be here without my second donor, I’ve gained 10 years of the best, most fabulous party of my life. [MUSIC] ANABEL I always definite happiness as not wanting a moment to end, and definitely the day of my The Power of Two - 45. Timecode Video 02:24:27 02:24:36 02:24:44 02:25:06 02:25:09 02:25:32 02:25:51 01:25:57 ISA Dialogue wedding was a moment of incredible happiness where I just wish that time could just stand still. It was an incredible reunion of many of my friends and family from all walks of my life, I felt fabulous. And then just to walk down that aisle and see Trent there, it was just so beautiful. PASTOR We come here on this splendid day to witness the marriage of Anabel Mariko Stenzel and Trent Wallace Jr. ANABEL Truthfully it is an absolutely privilege, and it would not have been possible without my donor families. ISABEL Ana’s wedding was absolutely perfect, and for me, I felt so happy that finally she would have a chance to have what I’ve had. She’s been waiting to have a partner in life. Everyone at the wedding really understood what a milestone it was because Ana had survived. [MUSIC] ANABEL I told myself at 28 when I got my first transplant, that I would love to live half my years with CF and half my years with transplant. My wedding was the most amazing gift of the ten year mark that I could ever, ever imagine, 18 more to go. I have my hopes up high and my prayers in line that that will be possible. ISABEL The wedding wasn’t just about Ana and Trent, it’s about spreading this yearning for more life in all of these families. Anna Modlin was very sick in the hospital a few weeks earlier, and really had kind of come to the sickest place of her life. ISABEL I couldn’t believe it. This is my friend who was so vibrant and alive just a few months earlier. ANABEL For her to make the effort to come to my wedding and to put the oxygen on, I certainly The Power of Two - 46. Timecode Video 02:26:15 After waiting on the list for 119 days… Anna Modlin received a double lung transplant. Dialogue have immense love for her and hope that she will pull through enough to get a transplant. And it scares me to think that she might not survive if an organ is not found. [MUSIC] There are currently over 110,000 Americans waiting for organs. 02:26:29 ISABEL Organ donation is an extremely complicated personal topic. But I do believe firmly both in Japan and America, that story telling is how you change people. Make them start thinking about what this issue is really about. 02:26:48 ISABEL Stories can make people truly understand what is going on in this small little segment of society. So that there can be change. [MUSIC] 02:26:59 In 2010, there were thirty-two brain dead donors in Japan. Twenty-nine of them came after the revised organ transplant law was enacted in July. 02:27:07 02:27:23 Ana & Isa continue to breathe, ANABEL Change takes stories and change takes effort. Before I was very apprehensive of being so public, but now I see it as an opportunity to touch people’s lives. [MUSIC] The Power of Two - 47. Timecode Video Dialogue live and thrive with their new lungs. 02:27:30 BEGINNING END CREDITS Directed & Produced by Marc Smolowitz Produced by Andrew Byrnes Executive Producer Chris Kelly Director Of Photography Nickolas Rossi Editors Matthew Sultan Thomas Eugene Green Art Director Timothy Palmer Music Supervisor Nicole Dionne, Primal Scream Music Music by Kyle Moorman Tim Easton Music Editor Joe Corcoran Associate Producer Jennifer Schmidt Special thanks to Anabel Mariko Stenzel and Isa Yuriko Stenzel Byrnes, whose kindness, patience, and willingness to open up their lives to the camera made this film delightful to make. CREDIT ROLL Associate Producers Naomi Takeuchi Dan Roth Production Manager Matthew Rome Assistant Editor & Second Camera Yasufumi Higuchi Post Production Associate & Social Media Coordinator Kirsten Incorvaia The Power of Two - 48. Timecode Video Dialogue Assistant Editor Yuko Inatsuki Audio Post Production Services Berke Sound, San Francisco Sound Mixer Mark Escott Color Finishing Gary Coates Cinematographer, Toronto Aaron Szimanski Additional Cinematographers Matthew Rome Dana Shaw Carl Sturgess Wilfred Galila Assistant to the Director, Japan Ashley Ryan Arnwine Production Assistant, Japan Chika Konishi Production Assistants, Wilfred Galila North America David McAdams Dana Shaw March Storm Carl Sturgess Nico Van den berg Ian Wolfley Web Developer Justin Mahon, Mahon Media Graphic Design Marcy Rye, Wire Media Communications The Power of Two - 49. Timecode Video Dialogue Megan Tingstrom Fundraising & Event Consultants Jill Shiraki Don Spradlin Music Clearances David Rich Janet Billig Transcription Services Averbach Transcription Legal Services Law Offices of Jamie Cooperstein Accounting Ellis Brenner, C.P.A. Fiscal Sponsorship San Francisco Film Society Center for Media Change With support from the San Francisco Film Society, San Francisco Film Commission & FilmHouse SFFS LOGO] [SFFC LOGO] FEATURING (in order of appearance) Anabel “Ana” Stenzel Isabel “Isa” Stenzel Byrnes Hatsuko Stenzel Dr. Francis Collins Dr. Howard Koh Carol Hutchison Wyatt Andrew Byrnes Anna Modlin Robin Modlin Kristin Dorn Beth Martinson Janice Compton Dr. Noreen Henig Dr. Shaf Keshavjee The Power of Two - 50. Timecode Video Dialogue Chigusa Yamaguchi Taro Kono Dr. Tomoaki Kato Dr. Kazutomo Minami Dr. Satoshi Teraoka Namie Nakazawa Michikata Ohkubo Kazuyuki Tanaka Tomoaki Adachi Mitsutoshi Ambe Dr. Bruce Reitz Dr. David Weill Doni Bell Elizabeth Miller Carol Barriger Washington, D.C. Advocacy Tour Corinna Dan Rep. Mike Honda Yul Kwon Rep. Zoe Lofgren Isa’s Wedding Rev. D. Maurice Charles Danielle Matthew Caroline Reese Snavely Reiner Stenzel Lung Transplant Support Group Breanna Mompean Dan Lagasse Jerry MacKay Heather Emmert Joshua Mompean Linda MacKay Lindsay Mulic Stacey Collver Organ Donors of Ana & Isa James Dorn Xavier Cervantes Ana’s Second Donor (Name Unknown) The Power of Two - 51. Timecode Video Dialogue cystic fibrosis Tribute Sandra Ayala Karen Bell Kerry Canavan Kelly Colgan Tony Diprofio Bob Flanagan Emily Haager Christina Miller Elizabeth Nash Michele Olson Siobhan Ryan Charlie Stockley Hayley Wester cystic fibrosis Campers Bryan Accurso Joe Batchelder Allison Best Terry Bomar Kristi Burnham Kelly Colgan Kelly Collins Desiree Contreras Rachel Crocker Julie Dias-Archer Alisa Evans Jenn Nelson Hardister Lori Hickey Katrina Howell Darren Johst Dr. Jonah Kramer Steve Kusalo Kaeti Pierce Lillibridge Danny Martinez Nicole R. Meyeraan Anna Modlin Dave Moore Jenny Nelson Terry Nelson Stephanie Peterson The Power of Two - 52. Timecode Video Dialogue Jereme Pierce Scott Pinner Siobhan Ryan Rosa Sanchez Christen Schmall Christine Smith Ana Stenzel Isa Stenzel Byrnes Sean Telford Tara Telford Dr. Juro Wada Josh Wagner Keegan Wahler Aaron Waldrum Japanese Transplant Fundraisers Save Yuichi-Kun (Yuichi-kun wo Suku Kai) Stanford Medical Center Personnel Jim Harvey Mary Martel Rowan (nurse doing vitals) 01:05:32:13 Rosie (front clerk) 01:05:27:17 (nurse taking blood pressure) (nurse flushing port - Angela?) UNOS/National Donor Memorial Jonathan Alford Kimberly Betancourt George Franklin Lolly Gilmore Melissa P. Lane Anne Paschke Freda Wilkens Ana’s Wedding Jennifer Bojanowski Joi Spencer Naomi Takeuchi Trent Wallace Other Appearances The Power of Two - 53. Timecode Video Dialogue Akihiro Adachi Rumiko Aoyama Tazuko Arima Yuzo Arima Patrick Baird Cecilia Banuelas Carol Barriger Rivian Bell Stephen Boyer Craig Buckser Ian Bullock Larry Byrnes Margaret Byrnes Grace Chang Michelle Compton Donate Life Rose Parade 2010 Float Riders & Decorators Christa Farmer Fay Farrow Britta Hirsch Franziska Hirsch Pia Hirsch Lillian Hom Marilyn Hom Shamira Kotadia Ben LaRocca Jane Loiselle Taka Maeda Michael Markman Tom Martin Jessica Meyers Miyagi Gakuin Women’s University Choir Doug Modlin Sara Modlin Rachael Morales Yushi Nomura Melissa Peterson Everett Darius Rice Robert Rohde Virginia Rosas Allyson Rupp Andreas Ryuta Stenzel Naomi Takeuchi The Power of Two - 54. Timecode Video Dialogue Mari Tanagawa Rie Ueno Julia Woolf Tony Woolf ATTENDEES AT THE FOLLOWING EVENTS Green Ribbon Running Festival, Tokyo, Oct. 2009 Japan Transplant Games, Fukuoka, Oct. 2009 2010 NKF Transplant Games, Madison, WI, Summer 2010 Wedding of Ana Stenzel & Trent Wallace, June 2010 Wedding of Isa Stenzel Byrnes & Andrew Byrnes, June 1998 SPONSORS & DONORS Angel Sponsor Dr. Paul and Mrs. Hisako Terasaki Triumph Sponsor XVIVO Perfusion Hope Sponsors Gilead Sciences Chris Kelly & Jennifer Carrico Friend Sponsors Francine Berry Francine & Joel Bion Larry & Margaret Byrnes California Transplant Donor Network Molly & Bob Haslam LifeStars David McAdams OneLegacy Perkins Coie LLP Photon Creative Reiner & Hatsuko Stenzel Supporter Sponsors A-Med Health Care APT Pharmaceuticals, Inc. Juichi & Yoko Arima The Benrey Family Jack Black & Tanya Haden Theresa Boteilho Sally & James Cha Michelle Compton Ann & Chris Creed cystic fibrosis Pharmacy Inc. & Freedom Pharmacy Brian & Pat Dowling The Power of Two - 55. Timecode Video Dialogue Ramona Doyle DPA Microphones Judith Dubin Laura Farach & Philip Strassle Robert Fram & Jeanne Blamey Genentech Tom & Terry Glennon International Transplant Nurses Society Joseph Kanfer Carelle & Mahmood Karimimanesh Katz Family Foundation Ed & Kay Kinney Reena Kuyper Kwality Media Sandra Lee & John Chang Maja Lichtenfeld Living Breath Foundation Jim & Jane Loiselle Cheryl & Michael Markman David & Martha Martin MMT Holdings, LLC Robin & Doug Modlin Thomas Mone J.F. Oberlin University Orrick Herrington & Sutcliffe LLP Ardith & Mike Plimack Dr. Ellen Porzig Quality Education Associates Dr. Bruce & Nan Reitz Drs. Rick & Rosa Rosen Safeway Steven & Gail Shak Stanford Hospital & Clinics Ryuta Stenzel & Chie Yao Nitin Subhedar Target Team Nor Cal, 2010 NKF U.S. Transplant Games Tesla Motors Ann Wilson Julia Woolf Stanley Young & Hyun Sook Park Other Donors The Power of Two - 56. Timecode Video Dialogue Marvin & Helen Adelberg Alyse Adler Todd Adler Adult cystic fibrosis Center of Jacksonville Annie Aft Cathy Akiyama Roy & Julie Ames Eugene & Soonyoung An Mary Anderton Laura Annick Ellen Ansel Anthony Diprofio Foundation Anne Arnold Mary Austin Michael & Cathy Aydelott Gregory Baigent Elizabeth Bailey Nancy Bain Darrell & Darlene Batchelder Vivien Benjamin Mark & Deana Bergquist Celia Bernstein Sallie & John Best Josh Bettenhausen The Black Keys Dan Auerbach Patrick Carney Ryan Harrington Ian Blackburn Lisa Bloch Blooming Rose Foundation Jennifer Bojanowski Lara Borowski Stephen Boyer Brigitte Brady-Harris Breathe California Ellis & Julie Brenner Sherry Bright Art Brody Craig & Heather Buckser Jane Buechel & Zelek Herman Constance Bullock The Power of Two - 57. Timecode Video Dialogue Linda & Tim Burks Craig & Jackie Burleigh Kurt & Donna Calia Connie Cameron Jo Dale Carothers & Jeff Rodriguez Margret Caruso & Ron Turiello Deborah Casanova Lisa Cassinis Howard Chang Jennifer Chen Theodore Chen Chris Chiarello Stephen Chien Carol Chivers Tiffany Christensen Joanie Ciardelli Cinnabar Hills Golf Club Kathy Clark Leslie Clark Einat & Jeff Clarke Martin & Barbara Cleary Dan & Jude Clement Patricia Collins Diana Compton Carol Conrad Mary Convento Mary Corey Molly Corey Jennifer Cornell Earle Crandall David & Bonnie Cummings Barbara & Jim Curry John Daigre Linda & Frank Damon In honor of “my donor, Debbie” Richard DeNagel M. Alexia dePottere-Smith Dr. Julie Desch Nicole Dionne Christopher Draper Ken Ebanks & Suzanne Abele-Ebanks Brad Ellis & Eydie Alyson The Power of Two - 58. Timecode Video Dialogue Bob Emmelkamp Samuel Ernst Donna Estomago Natalie Forood Wendy Feng Alanah Fink Kaye & Ray Fitzsimons Kate Forrest Ralph Frammolino Maria & Aaron Frankel Karol Franks Jake Freed & Hiroko Nakamura Pam Frerichs Reri Fujimura Rose Gilbert Stuart Glauberman & Sheri Regal Glauberman Michelle Gleeson Gary Gober Jon & Susan Golden Susan & Raymond Golden Danielle Goldstein Eric Goodman & Julie Goldstein Thomas & Kathryn Green Lisa Greene Marcie Groesbeck & Bryan Hecht Grossman & Cotter Diana Guth John & Dr. Jean Hanley Craig & Kari Hanson James & Terri Harrah Christine Haskett Hawaiian Donor Family Council Robert Hazy Andrew Henderson David & Noreen Henig Annette Hipona Britta & Ed Hirsch Edward & Sally Hirsch Katherine & Grant Holland Charles Hoopes Don Horsley Hotel Kabuki The Power of Two - 59. Timecode Video Dialogue Rod & Linda Hsiao Peter Hwang Stephanie Iseri Catherine Iwaki Ashley Jacobs Catherine Jacobs Bill & Danielle James Carroll Jenkins Burt & Mary Jones Peggy Jones Julie Judge Kabuki Springs & Spa D.J. Kaley Charlie Kanturek & Cathy Olmo Marcia Katz Barry Kendall & Mirit Cohen John Kerner Bradley Kesden Lena Ketabgian Linda Kim Kimpton Hotels Jessica Klinger James & Sandra Knox Tim Kobayashi Kerry Kodair Alan Kondo Martin Krell Deanna Kwong Lila LaHood Lisa Landa Alexander Lapeyre Dody Lapworth LearnAboutWine.com Legacy of Life Hawai’i Sally Lieber Nancy & Hal Lonhart Alan & Helen Lowy Linda Lubeck Jade Luber Jerry & Linda MacKay Mariko Magami Maggie’s Miracle Makers The Power of Two - 60. Timecode Video Dialogue Jeffery & Karen Mallison Dave Mandelkern Anne Marsh & Nikole Neidlinger Jessica Martens Casey Martin & Anna Modlin Guillemette Martin Tom Martin Debra Marzak David Masci & Emily Leonard Susan Masters Ingrid Mathieu Kayo Matsumura Mari Matsumura The Mau Family Lowell Mead Med Systems Betty Mednick Sarah Mellman Microsoft Erik Milch Amy Millington John & Kristine Mogen Brenda Morey Robert & Cheryl Moss Jill & Michael Murray Mustard Seed Market & Cafe Jen Myronuk Amy Nader Carole Nakamura Christine Nash James & Ann Nash Charles Nelson Terry Nelson Belinda Ng Mark Nicolls Hotel Nikko Burr & Sue Nissen Eiko Nobel Jeannine Nobriga Jill Nolen Michael & Judy Nolen Melissa Nordquist The Power of Two - 61. Timecode Video Dialogue Kelly O’Connor Stephen Ogden Yasushi & Masako Ohnuki Gordon Owens Chris & Lori Pappageorgas Rachel Pearson Robert Peirson Daniel & Janie Perez Brian Perkins Perkins Coie LLP (Madison) Barbara Peterson Missy, Sara & Bill Peterson Dave & Jane Pine Judy Poutre Principles Group Diana Reddy Renaissance Stanford Court Hotel John Roberts Stephen Robins Ann & Rob Robinson Virginia E. Rosas Pat Rose Eric Rosenblum & Titi Liu Jannette Ross Joe Ross Marta & Vladimir Roth Hiroko Sakiyama Brian & Vicki Schmanske Jennifer Schmidt Mike & Sue Schmidt Nanette Schneir Sandy Schumacher Gregory Shay Clint Sherbondy Jill Shiraki Judith Shmueli The Simonsen Family Deborah Silverman Marilyn Smart George & Masako Smith Speesees Joi Spencer The Power of Two - 62. Timecode Video Dialogue SPI West Port, Inc. Kamaldeep Tumkur Srinath Ramji Srinivasan Peter Staley Stanford Taiko Anthony Stearns Mac & Kazuko Stearns Louis Steele Judith Stein Lenore Stein & William Wood Florian Stenzel Robert & Rochelle Stone Sunny Sun Naomi Takeuchi Jennifer Taylor-Cousar Ekkie Tepsupornchai Graeme Thom “In memory of Thomas” Andrea & Lloyd Thomas Monet Thomson Total Serenity & Rosalind Guerrero Amy Toro Eunice Tsai & David Scott Linda Uyechi Siri Vaeth & Geoffrey Dunn Tiffany & Roger Van Alst Amy Van Zant Roozan Varteressian Stephen Venuto & Amy Paye Volunteers In Asia Josh Wagner Marlene Wagner Prentiss Trent Wallace, Jr. Gary Warburton Dr. David Weill Gloria Welles Judith & Alan Wester C. Ann White Michael Wickey Marlene & Jeff Wine Lauren Witcoff Sharon Wong The Power of Two - 63. Timecode Video Dialogue Alan & Miyoko Woolman Gail Work Paul Yang Rene Yco Steven Yoda Daniel Yost & Paul Brody Russell Zukin COMMUNITY PARTNERS Asian Americans for Community Involvement Asian Law Alliance Association of Organ Procurement Organizations Blooming Rose Foundation Boomer Esiason Foundation Breathe California Breathing Room California Transplant Donor Network Chris Klug Foundation/Donor Dudes cystic fibrosis Association of New Zealand cystic fibrosis Research, Inc. cystic fibrosis Services Pharmacy cystic fibrosis Worldwide Cystic Life Donate Life America Donate Life Arizona Donate Life California Donate Life Hollywood Donate Life San Diego Donate Life South Carolina Donor Network of Arizona Elizabeth Nash Foundation Genetic Alliance Golden State Donor Services Japan cystic fibrosis Network Japan Transplant Recipients Organization Japanese American Bar Association Japanese Cultural & Community Center of Northern California Japantown Community Congress of San Jose LifePoint, Inc. Lifesharing Lung Transplant Foundation Miracles for Life Oakland Fukuoka Sister City Association The Power of Two - 64. Timecode Video Dialogue OneLegacy Rock CF Foundation Second Wind Lung Transplant Association, Inc. Transplant Buddies Transplant Recipients International Organization (TRIO) TRIO - Akron/Canton, Ohio Chapter United Network for Organ Sharing United States Adult cystic fibrosis Association, Inc. Volunteers in Asia ADVISORY BOARD Charles Baker Wanda Bershen Dr. Jason Christie Adam Dornbusch Brad Ellis Dr. Sommer Gentry Elliott Greenberger David Evan Harris Rep. Mike Honda Dr. Tomoaki Kato Dr. Marcia Katz Chris Kelley Yul Kwon Dr. Susanna McColley Jillian Misrack Thomas Mone Michikata Ohkubo Cathy Olmo Dr. Bruce Reitz J.T. Rhodes Dr. Dorry Segev Tenaya Wallace Beth Iams Wellman Dr. Jeffrey Wine Kyoko Yoshida FILMED ON LOCATION North America Bethesda, Maryland cystic fibrosis Foundation National Institutes of Health Beverly Hills, California The Power of Two - 65. Timecode Video Dialogue Paley Center for Media Eugene, Oregon Fredericksburg, Virginia Fremont, California Ardenwood Historic Farm Hayward, California Chabot College Los Angeles, California Madison, Wisconsin University of Wisconsin Menlo Park, California Orrick, Herrington & Sutcliffe, LLP Vallombrosa Center Pasadena, California Rose Bowl Redwood City, California Richmond, Virginia National Donor Memorial United Network for Organ Sharing San Francisco, California AT&T Park Crissy Field Palace of Fine Arts Stanford, California Stanford Medical Center Stanford University Sunnyvale, California Toronto, Ontario, Canada Toronto General Hospital Washington, D.C. Ben's Chili Bowl Department of Commerce Department of Health & Human Services Johnson & Johnson Landmark E-Street Cinema National Mall U.S. Capitol Japan Fukuoka Hakata Fukuoka Community Sports Center Kawasaki The Power of Two - 66. Timecode Video Dialogue St. Marianna University School of Medicine Hospital Kobe Foundation for Biomedical Research & Innovation Kobe Medical School Riken Kobe Institute Center for Developmental Biology Kyoto Nursing School of Kyoto Medical Association Nara Todaiji Temple OkinawaT edako Hall University of the Ryukyus Osaka Osaka University Medical School Sendai Miyagi Gakuin Women’s University Tokyo Akasaka Community Center Friends Quaker School Hosei University J.F. Oberlin University Keio University National Diet of Japan Orrick, Herrington & Sutcliffe LLP Tokyo FM Tokyo National Stadium Yanagawa Yanagawa canals Yokohama ACKNOWLEDGMENTS Activision Active Voice Mayumi Adachi Annie Aft Hiroyuki Aihara Nizam Ali Akron Art Museum Akron Film Society Jane Albrecht Rick Allen Stacy Alvarez-Underwood Haleh Ameli The Power of Two - 67. Timecode Video Dialogue Mikey Anthony Rumiko Aoyama Jonathan Archer Art Institute of California, San Francisco Asian Law Caucus Audee Holman Titi Liu Asian Pacific Islander American Health Forum Lloyd Asato Deanna Jang Association of Asian Pacific Community Health Organizations Corinna Dan Jenn Tamayo Kim Aubry The Austin Law Group Alex Austin Avalon Michael Aydelott Alina Azizian Miryam Mora Barajas John Bartelt John Barter Lee Becker Norman Beil Belle Marie Winery Jeff Lazenby Laurent Benchana Benihana Restaurant Ben's Chili Bowl Adam Berk Francine Bion Zane Blaney Arianna Bocco Lara Borowski Breathe California Linda Civitello Joy Jim Kerns David Low Nicole Villanueva Joe Brilliant Caroline Brown Ben Brunetti The Power of Two - 68. Timecode Video Dialogue Linda Burks David Burruto Valerie Bush Brandon Buttrick Larry & Margaret Byrnes Rupie Giles Byrnes Jerry Cahill California Transplant Donor Network Ayanna Anderson Kathy Clark Trace’e Harris Nikole Neidlinger Cathy Olmo Eugene Osborne Gwenn Silva Sharon Swain Paula Valle Yu Cao Carol Capece Marc Cellucci Alan Chan Henry Chen Jennifer Chiu Churchkey Megan Scott Dr. Linda Hawes Clever David Cohn Patricia Collins Committee To Enable cystic fibrosis Treatment (Japan) Diana Compton Michelle Compton Congressional Asian Pacific American Caucus Gloria Chan Constellation Wines Mary Convento Corporation for International Business Jacqueline Dalgleish Jennifer Cowan Kaitlyn Crump Barbara & Jim Curry cystic fibrosis Foundation Dr. Robert Beall The Power of Two - 69. Timecode Video Dialogue Mary Dwight Laurie Fink Dean Greer Stephanie Krenrich cystic fibrosis Foundation Northern California Chapter Cathi Connelly cystic fibrosis Research, Inc. Carroll Jenkins David Soohoo cystic fibrosis Services Pharmacy Edmond Grantham Dan Klein Sherry Mirshahi Totten DataSafeR obin Lombard Mary Davis Amy Dax Trina Deakin John Dean Micaela Gutierrez Delcampos Joy Demas Rich DeNagel Julie Desch Donate Life Hollywood Christopher Sariego Tenaya Wallace Beverly Donelson Katherine Doolittle Sandi DuBowski Jack Dubowsky Duxinaro Wine Company Kat East Vaughn Edelson Andrea Eisenman El Mundo Bueno Studios Eytan Elterman Embassy of the United States of America In Japan Hon. John Roos Mieczyslaw Boduszynski Bart Cobbs Mikako Sano Peter Emerson The Power of Two - 70. Timecode Video Dialogue Cendru Engstrom Sid Espinosa Jonathan Estrin Jennifer Fan Holly Fechner Paul Feld Kristina Feliciano Alanah Fink Cathy Fischer Joel Finkelstein David Fleming Kathleen Flynn Kathryn Flynn Jörg Fockele Kate Folb Foundation of Biomedical Research & Innovation Dr. Koichi Tanaka Michael Fox Elena Francois Elise Francois-Berkley Friends Quaker School Full Circle Fund Reri Fujimura Ben Fuller Emily Patzer Fuller Jon Funabiki Mary Ganikos Chris Geidner Ginny Gidi Miles Gilburne Carol Gillespie Jim Gleason Clint Goldman Amanda Goodwin Bruce Gottfredson GPS Connections Margaret Baggerly Norma Kropelnicki Kate Sullivan Green Reg Green Sam Green Richard Grehan The Power of Two - 71. Timecode Video Dialogue Dan Habib Liz Hackett Kenzo Hakuta Keiko Harada Miyoko Harada John Wm. Hart III Insurance Agency John Hart Sarah Legan Daniel Heimpel Judith Helfand Diana Heppe Laura Leigh Hofrichter Homare Foods Michiko Tanno Office of Congressman Mike Honda Meina Banh Mari Maben Mike Nguyen Jennifer Van Der Heide Hosei University Kohei Onozaki Naohiro Tanaka Mark Hovarth Phoebe Howard Howard University Hospital Dr. Clive Callender Tiffany Craggette Daisy Diaz R.J. Harris Gabriel Ivey Linda Idris Suleiman Patricia Tolson Scott Hoyt Eric Hyman Kaori Ikeda Morgan Ilika Anne Im Michael Imbroscio Intellisound David Maier Momoko Ishida Iwanami Shoten Publisher The Power of Two - 72. Timecode Video Dialogue Reina Asaba Misako Oyama Naoki Nicholas Iwata Japan Donor Family Club Yoko Mazawa Japan Organ Transplant Network Juntaro Ashikari Yoko Iba Japan Tour Volunteers Japan Transplant Future Project Noboru Yamamoto Japan Transplant Recipients Organization Shunsuke Iso Michikata Ohkubo Hiroshi Shimono Japan Transplant Support Organization Nobutoshi Hanioka Kazuko Takahashi Alex Jenkins J.F. Oberlin University Kurumi Adachi Dr. Bruce Batten Yukiko Ebara Hideki Matsudo Dr. Toshihiko Mogi Atsushi Nagaoka Masaya Usuda Jack Johnson Tours Andy Johnson Mark Johnson Jennifer Julian Nathan Kaiser Sandy Kajiyama Yuko Kakumu Khalida Kareemi Beth Kassalen Yoshika Kawaguchi Cathryn Berger Kaye Adam Keigwin Keio University Dr. Etsuko Soeda Jonathan King Ed Kinney The Power of Two - 73. Timecode Video Dialogue Richard Kipnis Nathan Kitada Ro Khanna Nathan Kitada Jessica Klinger Kobe International Medical Foundation Takao Hino Kuninobu Yajima Kobe University Graduate School of Medicine Dr. Ai Isohisa Yoshitaka Sakoda Dr. Rie Ueno Mel Kotlyar Wataru Kousaka Ashley Kravitz Kristi Yamaguchi’s Always Dream Foundation Katie Kurtz The Nursing School of Kyoto Medica Association Landmark E-Street Cinema Sarah Armstrong Michael Lapides Lexi Leban Robert Lenhard Sirr Less Michael Levin Michelle Lew Halycon Liew LifeStars Eileen Coccia Marcie Waldron Live Artists Have To Eat Clive Promhows Gina Locurcio Office of Congresswoman Zoe Lofgren Kathleen Collins Pedro Ribeiro Sandra Soto Monica Swintz Maggie Loiselle & Seth Keever Delia Lopez Sara Lopez Igor Lotsvin The Power of Two - 74. Timecode Video Dialogue Michael Lumpkin Lung Gathering Participants at 2010 NKF U.S. Transplant Games Assemblywoman Fiona Ma Mahoko Kuramasu Laurie MacMillan Ted Mallison Jenny Marshall Jessica Martens David Martin Tom Martin Glen Matsuki Mari Matsumura Takashi Matsuoka Shirley McAdams Elise McCave Scott McCoy Brandon McFarland Kathleen McInnis Islay McLeod Rick McKenna Tony McNicol Greg McQuaid Dr. Robert Mendez Kristine Meredith Dawn Miller Amy Millington Hiroki Minaki Miraglia Catering Mike Miraglia Mari Miyachi Miyagi Gakuin Women's University Dr. Tomoaki Adachi Misako Hatayama Megumi Miyazawa Monona Terrace Community and Convention Center Rod MacDonald Meg Statz Allan Moore Rick Mordesovich Erika Moritsugu Rear Admiral (Ret.) Kenneth Moritgusu Jennifer Morris The Power of Two - 75. Timecode Video Dialogue Sean Muramatsu Carl Nadler Carole Nakamura August Napoli Jim & Ann Nash Christine Nash National Agency for the Advancement of Sports and Health Kazunori Azami National Institutes of Health Joe Balintfy John Burklow Michael Erdos Calvin Jackson Gretchen Wood National Kidney Foundation Denise Devlin Stephanie Gross Anthony Gucciardo Claudia Henry Gigi Politoski Ellie Schlam Dawn Williams John Nein Joshua Nelson Damien Neuberger Dee Dee Nguyen Sharon Nichols Christine Noke Tamon Norimoto Anne Wyak Norris The Nursing School of Kyoto Medical Association Kazuko Tamai Shigeko Yamaguchi Melanie Nutter Jessica Ocheltree Minoru Ohmura Masako Ohnuki Dennis O’Keefe Rebecca O’Keefe Okinawa Social Welfare Association Seiichi Inoha Okinawa Times The Power of Two - 76. Timecode Video Dialogue Natsumi Hirashima OneLegacy Rivian Bell Elena de la Cruz Sabrina Ho Georges Abou Khalil Tom Mone Christopher Sariego Bryan Stewart Tenaya Wallace Kari Williams Margaret Wylie Organs R Us Dr. Jeff Shapiro Orrick, Herrington & Sutcliffe LLP Gillian Arnold Nellis Freeman Stephen Venuto Serge Verkhovsky Daniel Yost Osaka University Graduate School of Medicine Dr. Norihide Fukushima Dr. Taigo Kato Karlina Ott Daniel M. Owen Raj Padmanabhan Mary, Seth & Reese Palmer Bea Pangilinan Perkins Coie LLP Jeff Bowen Kathleen Brieske Truscenialyn Brooks Al Cornish Lissa Koop Michelle Umberger Sarah Walkenhorst Sir Williams Jeff Perlstein Lilyanna Peyser Art Phelan Rise Pine Nate Pinkston The Power of Two - 77. Timecode Video Dialogue Hal Plotkin Carol Poole Kip Pownall The Prayer Flag Project Melahat Rafiei Oscar Ramirez Emily Rhodes Riken Center for Developmental Biology Dr. Douglas Sipp Mary Ann Rinkleff Steve Robins Ann Robinson Kathryn Roethel Corey Rogers Mace Rosenstein Gabriel Roth Peggy Saika Junichi Sakamoto Sam & Silvia San Francisco Film Society Michael Behrens Sarah Cathers Sara Dosa Hilary Hart Steven Jenkins Athena Kalkopoulou Graham Leggat Rachel Rosen Linda Tracey Michele Turnure-Salleo Marlisha Walton San Francisco Giants Erin Reilly Roopal Saran Jill Sattinger Jack Schaefer Lola Mae Schaefer Emily Schaller Brian & Vicki Schmanske J.P. Schnapper-Casteras Ellen Schneider Joanne Schum The Power of Two - 78. Timecode Video Dialogue Sandy Schumacher Liane Scott Kevin Seaman Naomi Seligman Courtney Sexton Ronnie & Mandi Sharpe Kerry Sheehan Maggie Sheehan Kristin Shelton Linz Shelton Aaron Siegel Honda Simon Robert & Gabriel Simon Douglas Sipp Matthew Slutsky Peter Slutsky Candace L. Smith Erik Smith Rebecca Smith Maura Solomon Kelly Spruiell Stanford Alumni Association Claudia Winkelman Stanford Hospital & Clinics Liat Kobza Gary Migdol Sara Mink Nancy Nevarez Eric Williams Stanford in Washington Nell Selander Stanford University Jack Hubbard Thomas Starr Lisa Steiding Toho Stella Andreas Ryuta Stenzel St. Marianna University Hospital School of Medicine Yoshimichi Sunazuka Allison Stockley Chris Stone Audrey Sasso Stout The Power of Two - 79. Timecode Video Dialogue Hiroki Suetsuna Jennifer Suttlemyre Miwa & Kenji Suwa Lea Suzuki Sonya Swinton Brian Tacke Sophie Tan Michiko Tanaka Sachi Tanegashima M’lis Targgart Dr. Yusaku Tazawa Team NorCal, 2010 NKF U.S. Transplant Games J.P. Tengco Arienne Thompson Emy Thurber Laura Tillman Janet Tobias Tokyo Shimbun Sawako Kusanagi Shinichi Tanaka Tokyo Women’s Medical University Dr. Kayoko Saito Jason Tongen Trader Joe’s Transplant Recipients International Organization (TRIO) Japan Yushi Nomura Truman Van Dyke Co. Mike Groner Kent Hamilton Deron Tse Bob Twomey Kazuko Ueda Uncorked Wine Bar U.S. Department of Commerce Secretary Gary Locke Azra Husejnovic Esther Lee Victoria Tung U.S. Department of Health & Human Services Dinah Bembo Tara Broido Jennifer Buschick The Power of Two - 80. Timecode Video Dialogue Rebecca Lee Sophie Tan University Health Network, Toronto Nicole Bodnar Laura Bortolamiol Paul Chartrand Christian Cote Gillian Howard Alexandra Radkewycz Annette Remmes University of Missouri Press University of the Ryukyus Dr. Jiro Fujita Dr. Maki Tamayose Mabek Valdiviezo Valley Expo & Displays Kate Van Sprange Video-Gram Participants in Hillsborough, Madison & Pacific Palisades The Village Recorder Studio Venu Vittaladevuni Viva Transplantation Harue Kimura VIZ Cinema Manami Iiboshi Hiromi Makepeace Norbert von der Groeben Lois Vossen Stacey Wagner Stephan Wahl Marcie Becker Waldron Kay & Eric Walker Shiyo Watanabe Lauren Wechsler Stephen Weiswasser Holly Werlein Veronica Wetmore Estelle J Willard Lori Matoba Wun XVIVO Perfusion Chris Jaynes Mary Pohl Luna Yamato The Power of Two - 81. Timecode Video Dialogue Koichi Yamauchi Yanagawa Kanko Kaihatsu Kabushiki Kaisha Ken Yeager Steve Yoda Dr. Brad Zlotnick Caroline Zlotnick MUSIC LICENSING DETAIL "Skyscraper" Performed by Juliette Commagere Written by Juliette Commagere Used with permission of Half-Mexican Music (ASCAP) Courtesy of Aeronaut Records "The Two Of Us" Performed by Tim Easton Written by Tim Easton Used with permission of Tim Easton (ASCAP) Courtesy of Campfire Propaganda Records “The Afterlife” Performed by Gus Black Written Anthony Penaloza Used by permission Split The Moon (ASCAP) Courtesy of Olinda Records "Until It Kills You" Performed by Tim Easton Written by Tim Easton Used with permission of Tim Easton (ASCAP) Courtesy of Campfire Propaganda Records "Glass Off" Performed by Bangkok Starters Written by Joachim Cooder & Sunny Levine Used with permission of Zegma Beach Music (BMI) & Loverhino Music (ASCAP) Courtesy of Crouching Cood Hidden Soonhey Records "Free To Be Me" Performed by Haroula Rose Written by Haroula Rose Used with permission of Post Vinyl Music (BMI) Courtesy of Haroula Rose The Power of Two - 82. Timecode Video Dialogue "Feel It Coming" Performed by Sara Melson Written by Sara Melson Used with permission of Sara Melson (BMI) Courtesy of Nettwerk Records JAPANESE SONG "Baby Come Home" Performed by Tim Easton Written by Tim Easton Used with permission of Tim Easton (ASCAP) Courtesy of Campfire Propaganda Records “What I do It For” Performed by Juliette Commagere Written by Juliette Commagere Used with permission of Half-Mexican Music (ASCAP) Courtesy of Aeronaut Records "Shape Of A Pocket" Performed by Pedestrian Written by Joel Shearer, Zac Rae, Joseph Karnes & Blair Sinta Used with permission of Donkey Dog Music (BMI), Shearer Energy Music (ASCAP), Grumpy Beard Music (ASCAP) & Snaqtime Music (ASCAP) Courtesy of Headwreckords Records "Happy Endings" Performed by Sara Melson Written by Sara Melson Used with permission of Sara Melson (BMI) Courtesy of Nettwerk Records "Celebration" Performed by Riverside City College “Marching Tigers” Written by Robert Bell, Ronald Bell, George Brown, Eumir Deodato, Robert Mickens, Claydes Smith, James Warren Taylor, Dennis Thomas, Earl Toon Used with permission of Warner Chappell Music Publishing The Power of Two - 83. Timecode Video Dialogue "The New World" Performed by Haroula Rose Written by Haroula Rose Used with permission of Post Vinyl Music (BMI) Courtesy of Haroula Rose "Your Radio" Performed by Pedestrian Written by Joel Shearer, Zac Rae, Joseph Karnes & Blair Sinta Used with permission of Donkey Dog Music (BMI), Shearer Energy Music (ASCAP), Grumpy Beard Music (ASCAP) & Snaqtime Music (ASCAP) Courtesy of Headwreckords Records "World" Written and Performed by Remy Zero Used with permission of Nicole Dionne & Primal Scream Music (BMI) Courtesy of Primal Scream Music FOOTAGE COURTESY OF Dr. Tomoaki Adachi John Bartelt California Transplant Donor Network Andy Gordon Michelle Gutierrez ITN Source KNBC Channel 4 Hollywood The Modlin Family Nichiei Archives NHK International, Inc. Shinshu TV Anabel Stenzel Isabel Stenzel Byrnes Reiner & Hatsuko Stenzel Sturm Media & Communications Naomi Takeuchi Television Kanagawa Toho Stella TV Shinshu Broadcasting PHOTOS COURTESY OF Howard Auzenne The Power of Two - 84. Timecode Video Dialogue Fatima Ayala John Bartelt The Family of Karen Bell Breathing Room Michelle Compton Cynthia Broshi Andrew Byrnes John and Lois Canavan Etsy & Sue Cochran Kristy Collins and the Colgan Family The Family of James Dorn The Family of Bob Flanagan The Family of Jade Frota Glamour, Condé Nast Dolores & Peter Creede Jill Crowley-Proulx Diane Haager and Family Lori Hickey Britta Hirsch Stuart Isett Diane & Harold Johnson Julie Judge The Family of Bridget Klein Yohei Kono Official Office Adam Latham Lifetouch Studios Carmen Miller Doug & Robin Modlin The Family of Ross Moran Jim & Christine Nash National Kidney Association Chuck Nelson Wanda Olson Lisa Rankin Robert Rohde Kelly Spruiell Anabel Stenzel Isabel Stenzel Byrnes Reiner & Hatsuko Stenzel Allison Stockley Kelly Stockley Chad West The Power of Two - 85. Timecode Video Dialogue Alan & Judy Wester Dennis Williams OTHER MATERIALS COURTESY OF Mainichi Shimbun Japan Keizai (Economy) Shimbun Fukushima Minpou Yomiuri Shimbun Tokyo Shimbun Encoded in Dolby AC-3 - MAY BE DOLBY E DEPENDING ON DELIVERY VENDOR 02:33:50// END OF POWER OF TWO