The Final Journey

"The Car of Hope" is a volunteer project that helps terminally ill patients visit one last place that is special to them in their final days. A terminal cancer patient in his 70's wants to take his wife to a flower garden once more. A husband wants to take his severely ill wife to an aquarium, so she can forget her illness for a while. A nurse who accompanies them on the trip says it's a journey of hope that allows patients to live out their life as they used to do. We follow them on their final journey.

Transcript

00:02

Stories about people.

00:04

Stories about life.

00:07

Hometown Stories.

00:17

This is probably our last chance.

00:22

I want to give her one more memory.

00:31

This car makes people's final wishes come true.

00:39

Called "the Car of Hope," it allows people nearing the end of their life to take one last trip.

00:56

I wanted to take my wife
somewhere she wanted to go.

00:59

I think this will be our last trip.

01:05

The man has terminal cancer.

01:07

In the little time he has left, he wanted to visit a flower garden with his wife once more.

01:16

This woman is seriously ill.

01:19

Her husband took her on a trip as a gift.

01:23

Aren't they cute?
Lots of them over there.

01:29

I want her to have more fun moments.
I think that's the best thing for her.

01:40

Living one's life to the fullest...

01:42

We want our car to be a source of hope
for people living out their final days.

01:55

What are the final sights that people want their loved ones to see?

02:13

"The Car of Hope" is a volunteer effort run by a car dealer in Saitama Prefecture, just north of Tokyo.

02:23

The group takes terminally ill patients wherever they choose for their final trip.

02:30

They first launched the service five years ago after learning of its popularity in Europe.

02:40

The team receives about five requests a month.

02:43

Medical staff and others plan the trip and provide support on the day.

02:50

These contain the request forms.

02:55

This man, in his 70's, wanted to stroll
around a ranch in Nikko.

03:02

This man, also in his 70's, wanted
to attend his daughter's wedding.

03:11

There's a nurse who works exclusively for the group.

03:15

Sako Kozue goes on the trips while liaising with a doctor.

03:25

"The group has arranged more than 60 trips."

03:40

A boy with cancer wanted to visit a railway museum.

03:43

“I want to visit a railway museum.”
(5-year-old boy)

03:50

A man in his late 60's wanted to visit his parents' grave a long way from his home.

03:56

“I want to visit my parents' grave.”
(69-year-old man)

03:59

A 66-year-old woman wanted to attend her daughter's wedding.

04:03

“I want to go to my daughter's wedding.”
(66-year-old woman)

04:08

Many people want one final chance
to live as they used to do.

04:16

Extending everyday life
is a precious thing.

04:21

We'd like to help them be themselves
until the very end.

04:37

Late February, 2023...

04:43

Kozue visited a house in Tokyo

04:50

Hello.

04:52

- Thank you for taking the time today.
- Come on in.

04:59

Hello there.

05:04

A request came in from Sato Nobuo, 74 years old.

05:09

He has pancreatic cancer.

05:12

He's been told he has three months left to live.

05:17

How are you feeling?

05:19

Some days, I'm sick.
Other days, I feel great.

05:24

- How about today?
- OK, I guess. Maybe not too good.

05:28

I see.

05:29

We'll take you where you want to go.
Where's that?

05:41

- Could you show me that...? Wow!
- Around here.

05:47

Nobuo's hope is to visit a flower garden with his wife.

05:55

This whole area is a field of flowers.
The coastline is beautiful.

06:01

Lots of flowers like snapdragons
are in bloom there.

06:05

I asked my wife where she wanted to go.
I want to go there with her.

06:12

You must be looking forward to it.

06:18

- He has a nice smile.
- It's wonderful.

06:24

The last drive is scheduled in nine days' time.

06:30

He's gotten better since
we started planning for the trip.

06:33

Your husband looks so lively.

06:42

I was moved by his smile.

06:44

That's my favorite moment.

06:47

In that moment, he's not a patient.

06:53

I love seeing that
when discussing the trip

07:03

Let's see if this park is barrier-free
with easy access to the flower garden.

07:09

Only this part is paved with asphalt.

07:18

Kozue used to work in the intensive care unit of a general hospital.

07:24

I realized one day that, in the ICU,
I was just focused on saving lives.

07:30

I thought maybe I was looking after
patients for my own satisfaction.

07:38

"After hearing about the group,
she quit her hospital job to join it four years ago."

07:45

I want to learn about patients' lives,
and help them stay the way they are.

07:53

I want to nurse them with empathy.

07:57

I heard what the group was doing,

08:01

and thought I could find the answer
that I'd been looking for.

08:11

- Your calf?
- Yes.

08:19

Nobuo was 26 when he married Hisae, who is two years younger.

08:35

They both loved flowers.

08:38

They would visit flower gardens together whenever time allowed.

08:45

It was fun.
We had some real good times.

08:55

But with three children to raise, they spent less and less time together as a couple.

09:06

I was a workaholic.
Work was all I did.

09:12

My wife took care of the children
and my parents, too.

09:18

I bet she had a harder time than me.

09:22

The two used to talk about visiting flower gardens together again once he had retired.

09:30

We look so young!

09:37

But two years before retirement age, he was told he had prostate cancer.

09:42

And later, he was also diagnosed with pancreatic cancer.

09:48

My wife wanted to go to a lot of places.

09:53

I want to take her where she wants
to go, not where I want to go.

10:00

I kept saving money without telling her.
But my medical bills were quite high.

10:09

About $150 a month.

10:16

If I'd started saving sooner,
we could've gone before I got this sick.

10:23

I really regret that.

10:28

I'm so glad we heard about this service.

10:33

We couldn't take the trip otherwise.

10:39

I'm so grateful to the group.

11:02

He said, "I want to take you on a trip."

11:06

I was surprised how much he wanted
to take me somewhere.

11:11

Then I thought I'd love to go with him
no matter where.

11:17

I can't be sweet or say nice things.

11:26

I just want to be with him.

11:50

- Hello.
- This is Kozue from "The Car of Hope."

11:56

Kozue and the team usually have only about a week between receiving a request and the trip itself.

12:10

It's not unusual to see requesters
walking normally when we visit...

12:15

...but having lost the ability
by the day of the trip.

12:19

I always worry about
a sudden change for the worse.

12:26

We want to make sure the trips happen.
The patients' health is our main concern.

12:38

You must be tired.

12:41

Tozawa Naoto, 56, lives in Tokyo.

12:47

His 51-year-old wife, Nanako, has terminal cervical cancer.

12:52

Her health is declining by the day.

12:59

You have a lot of worries, right?

13:03

But you try not to think about them.
There's no point in that.

13:11

Despite her condition, he decided to take her on a day trip as a gift.

13:21

I wondered what would be most fun for her.
I bet she wants to go outside.

13:29

Visiting somewhere and
hanging out there.

13:34

It'll mean a lot to her to
spend a day making fun memories.

13:56

It might be a bit pushy of me.

14:01

But I really want to take her there.
This is probably our last chance.

14:11

"The couple visit an aquarium."

14:26

Look!

14:31

Cute, aren't they?
There are more over there.

14:38

"Nanako loves penguins."

14:46

These two are married, too.

14:49

Like us.

14:57

They're close and together.

15:03

She really loves penguins.
I'm reminded of that again.

15:07

It was good to see her enjoying herself.

15:15

"At Nanako's request, they stay
more than an hour longer than planned."

15:24

The time went by so fast.

15:28

Thank you so much for all your help.

15:46

"2 days before Sato Nobuo's trip"

15:58

Nobuo was ready to take his wife to a flower garden.

16:02

But two days before the trip, he has gone rapidly downhill.

16:13

It hurts.

16:17

Do you think you can go on Sunday?

16:22

I don't know.

16:30

Hello there.
How are you?

16:36

Nobuo's doctor comes over to see if it's okay for him to go on the trip as planned.

16:43

The abdominal fluid is down.
It seems fine.

16:47

There's still some fluid,
but less than last week.

16:56

The doctor gives Nobuo the green light for the trip.

17:08

I think he'll be OK.

17:11

But as I said last week,
he's at his best right now.

17:17

He wants to go there for you,
and he'll have a good time, too.

17:23

You should take lots of pictures,
and both be as active as you can.

17:28

Week by week, he'll gradually lose
his ability to do or say things.

17:37

So, I hope you two will get to
spend some precious time together.

17:42

"The day of the drive"

17:52

Good morning.

17:55

Good job coming down!

18:04

Nobuo is now having difficulty standing up unassisted.

18:29

Take care and enjoy the drive!

18:38

"Over two hours to the flower garden"

18:49

"Kozue quietly watches over
the couple's time together."

19:07

My lower back hurts.

19:24

On the way, he has to get some rest because of pain in his upper and lower back.

19:37

Still, Nobuo doesn't want to turn back.

19:49

Going home without achieving his goal
was probably not an option for him.

19:55

He must've been determined to keep going
no matter how much pain he was in.

20:14

The couple arrive at the flower garden an hour later than planned.

20:23

The flowers smell wonderful.

20:29

This is the place where Nobuo has always wanted to take his wife.

20:45

It's amazing. First time here.

21:05

Beautiful!

21:09

There are different colored stock flowers.

21:12

They bring back memories because the couple used to visit flower gardens when they were young and pick stock flowers together.

21:27

- Go and cut some.
- I will.

21:31

They're beautiful!
All kinds of colors.

21:51

One by one, Hisae carefully picks the blooms she likes.

22:23

Amazing.

22:27

Nobuo can't take his eyes off Hisae.

22:55

"Nobuo passed away 7 days later"

23:14

I was glad, and happy.

23:19

He had a goal, which kept him going.

23:23

His wish to take me there
gave him the strength to go on.

23:34

When I thanked him, he nodded.
So, he must have been satisfied.

23:51

I'll move forward with my life,
like, "Don't worry. I'm all right."

24:06

"Kozue is at a zoo in Tokyo."

24:14

It says "eastern grey kangaroo."

24:19

Even if you can't live much longer,
as long as you have hope...

24:23

you can live out your life
as the person you are.

24:28

So, personally, I want to cherish
each moment as much as possible.

24:37

Can you see them?

24:52

It's a nice breeze, isn't it?