Pennod 11 Ward Plant


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Pennod 11

Mae babi'n cael ei drosglwyddo ar frys i ysbyty ym Manceinion ac un arall yn dod i mewn o Ysbyty Alder Hey. A baby is rushed to a hospital in Manchester and another comes in fro...


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-Every day is different on Dewi Ward.

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-Speaking for myself...

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-..I arrived in this world

-six weeks prematurely.

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-Arya was 12 weeks too early.

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-Hello, gorgeous.

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-She needs to be monitored carefully.

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-She took three years to arrive.

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-And, um...

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-..I wasn't very well

-during the pregnancy.

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-She'll be the only one.

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-Some small children have spent most

-of their lives in hospital.

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-This is Harry John Kane Jones.

-We're in since Saturday night.

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-Basically,

-he stopped breathing twice.

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-Saline at three o'clock

-or do you want one sooner?

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-We'll have a bit now,

-if you don't mind.

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-Get it now?

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-Get it now?

-

-Yes, thank you.

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-He's got a prognosis

-of myotubular myopathy.

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-It's a muscle problem.

-It's very rare.

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-Harry can't get rid of the mucus

-from his lungs.

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-It means that any sort of cold

-puts him at risk.

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-On that night, the secretions

-were just too much for him.

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-We couldn't stop it from coming out.

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-He's not supposed to throw up

-because he's nil by mouth.

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-He threw up.

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-Then my seven-year-old daughter

-tried to help.

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-We tried to give him oxygen

-and tried to clear everything.

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-It got worse and the machine told me

-that he basically stopped breathing.

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-I had to resuscitate him.

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-First,

-I had to get all the saliva...

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-..out of his nose and mouth

-with my own mouth.

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-I had to do that

-because the machine wasn't working.

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-I gave him mouth to mouth then.

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-He recovered quite quickly.

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-But it was scary.

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-It's not something

-I want to do every time.

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-Elsi is another baby who's been

-a cause for concern for her parents.

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-She has fits after having

-immunization jabs.

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-After her recent one,

-she had a fit for 50 minutes.

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-She came out of it and then she was

-in another fit for two hours.

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-So, we're waiting for answers,

-really.

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-We're waiting to hear why

-from Alder Hey.

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-Gwennan is concerned that the fit

-may have caused brain damage.

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-The doctor wants to reassure her.

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-She's fine at the moment,

-bloods are fine, blood gas is OK.

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-We're happy with that.

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-But, exactly

-what the reason happening...

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-..we're not sure at the moment.

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-That's what you need

-to discuss with them.

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-But keep in mind,

-she's fine at the moment.

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-Blood pressure is fine,

-heart rate is OK.

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-Her temperature is slightly up but

-that could be due to immunization.

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-It happens with children, a slight

-temperature. Nothing to worry about.

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-We assure you

-brain is working very well.

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-OK, little girl?

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-OK, bye bye.

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-Because Harry can't get rid

-of the mucus in his lungs...

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-..Fiona, the physio,

-is coming to lend a hand.

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-Did she use a mask like this?

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-I've never seen anyone use a mask.

-It's a good idea.

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-It just means that

-mum, dad, auntie, uncle can.

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-You won't hurt them but you can get

-it in the right place.

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-You've got quite big hands,

-they're quite the size of him.

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-We've been in Liverpool

-for the last eight months.

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-We haven't been home long,

-three weeks and this happens.

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-We carry out his full-time care.

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-We give him his feeds, medicine,

-and try to do the suction.

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-We do the oxygen, we work on his

-chest to clear it out.

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-We have to do a lot.

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-It's a rare condition,

-not many children have it...

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-..it's going to take time

-for the nurses to learn...

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-..and get to know him.

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-His illness isn't run-of-the-mill.

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-With all of us working together,

-we'll get there eventually.

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-It's going to take time.

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-Sometimes, in order to save

-a life...

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-..which can happen

-all of a sudden...

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-..they have to focus

-on one child only.

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-The baby came just now,

-thirty minutes ago.

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-A six-month-old baby

-with severe respiratory distress...

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-..with a complicated background...

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-..known as a chronic patient

-to Alder Hey.

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-I think it's due to some kind

-of viral infection.

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-We're trying all things.

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-By the time he arrived,

-he's struggling, seriously.

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-The sats are very low.

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-The heart rate is very high...

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-..which is a sign of severe

-breathing problems or distress.

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-Joshua is gravely ill.

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-The crash team from the intensive

-care unit came down...

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-..to Dewi Ward to stabilize him.

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-As we assessed him,

-he was having trouble breathing.

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-He obviously

-required intensive care.

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-I did his observations...

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-..just from looking at him, he was

-grunting, pale and had blue lips.

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-He needed a high level of oxygen.

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-The doctors and nurses keep coming.

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-Each and every one is a specialist.

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-This is an emergency case.

-We have to strive for accuracy.

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-We all have to work as a team.

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-The anaesthetist has arrived.

-As experts we need to work together.

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-The anaesthetist is in place so they

-are doing the intubation process.

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-Yes, we have to first

-of all resuscitate the baby...

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-..if their condition

-is quite severe.

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-Our training in resuscitation

-which kicks in.

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-So, we have to make sure

-that the airway is clear...

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-..and that they're able to breathe.

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-Joshua is now unconscious.

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-He needs a machine

-to control his breathing.

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-For the time being,

-the emergency is over...

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-..even though Joshua

-is still seriously ill.

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-He needs the expertise of one

-of the country's larger hospitals.

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-We had a bit of bad news overnight.

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-One of the little girls.

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-We weren't expecting this at all.

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-She'd been great. She'd been taking

-her treatment well.

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-It looked favourable for her.

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-She was responding well

-to the chemo.

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-She had a scan. Oh, when was that?

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-She had a scan some three weeks ago.

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-That scan showed a slight response

-to the chemotherapy.

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-Everyone was pleased with that.

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-She chose to keep going

-with the chemotherapy.

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-And then, everything was going fine.

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-Sorry.

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-I don't like this part of the job.

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-Her mother phoned me

-later in the evening.

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-She told me that they'd

-found a bleed on the brain.

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-She was heading to the HDU

-to be intubated.

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-I phoned at midnight

-before heading to bed.

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-The girls told me

-she was up on the unit there...

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-..and that she was critical.

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-I phoned this morning before I went

-to work and spoke to her mother.

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-She told me that they'd turned off

-the life support this morning.

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-I'll visit tomorrow.

-I won't go today.

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-She has plenty of people around

-today. I'll go see her tomorrow.

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-.

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-Subtitles

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-Subtitles

-

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-The ambulance taking Joshua

-to Manchester has arrived.

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-In it there's a doctor,

-nurse and driver.

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-Their experts at transferring

-critically ill patients...

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-..between hospitals.

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-Before they leave,

-a team from Ysbyty Gwynedd...

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-..hand over Joshua's medical records

-about his condition and treatment.

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-It's a two-hour journey.

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-They have to be prepared

-in case his condition worsens.

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-Harry may be facing

-a journey to Alder Hey...

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-..if his condition doesn't improve

-in the next few days.

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-What they've said is they want

-to keep him on the same antibiotics.

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-They want to make sure

-he's comfortable which he is.

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-We need to carry on doing what

-we're doing on a day-to-day basis.

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-The next plan

-is that tomorrow morning...

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-..he'll have more physio

-on his chest...

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-..to clear more of the saliva

-that's built up at the top.

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-And then, I'm hoping in the next

-couple of days...

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-..he'll start being more himself.

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-More than anything his temperature

-needs to come down.

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-A high temperature makes his heart

-beat faster than it should.

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-If that settles,

-everything else should follow.

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-Hey, mate?

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-Ooh.

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-Alder Hey Hospital has also been

-in touch about Elsi's fits.

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-Hello, how are you, Mum?

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-I'm fine, thanks.

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-I got an answer from Alder Hey.

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-They don't think

-it's the immunization.

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-They think the immunization

-caused the temperature.

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-Indirectly, yes, immunization caused

-the temperature.

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-Due to the temperature,

-the convulsion happened.

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-So we have discussed in the morning

-it could be febrile convulsion...

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-..the same thing they're thinking.

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-The second thing...

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-..is about the vaccination

-which happens at the age of one...

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-..they think it's a better idea

-to give them in hospital.

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-Before the vaccination

-give paracetamol...

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-..and keep her in hospital.

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-It's more responsible and more

-comfortable for you as well.

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-Because at home, it's more anxiety.

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-The next step with Elsi is a lumbar

-puncture to rule out meningitis.

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-And then we'll have

-to see from there.

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-If she's alright after that,

-she may get to go home tomorrow.

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-So, it's still a bit

-of a concern for me.

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-She's had these fits

-every time after a jab.

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-They're saying the jabs aren't the

-problem and it's her temperature.

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-It's going to be

-a bit stressful for a while.

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-I think so, won't it, Els?

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-While Elsi has a lumbar puncture...

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-..Asha has arrived

-to perform more physio on Harry.

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-They're hoping

-he won't have to go to Liverpool.

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-Sorry.

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-Don't make a noise again, OK?

-You've lost your dummy.

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-On an adult, I'd use my hand,

-cup it and tap it like this.

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-They're so small,

-these masks are quite handy.

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-It's like an

-old-fashioned ketchup bottle.

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-It loosens the snot.

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-The lungs are lined with tiny hairs.

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-They just scoop up

-all those secretions.

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-They send them up to the

-back of the mouth and the nose.

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-It's removed

-with suction from the mouth.

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-Sometimes, I put a very small tube

-down through the nose.

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-We do this to children

-here sometimes...

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-..but usually they're in Alder Hey.

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-We got taught by the team

-at Alder Hey.

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-The first thing that happens

-at home is that things clog up.

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-He'll get what's called a plug.

-It's just hardened snot.

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-A normal child can cough or sneeze

-it up. Harry can't do that.

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-We have to go in ourselves

-and clear it out.

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-We do it every morning.

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-This suction machine,

-we're up all night with it.

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-We're constantly getting rid

-of whatever's in his mouth and nose.

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-We do it to stop what happened today

-from happening.

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-It's a lot of work.

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-I don't think, actually,

-I'll give him another suction.

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-He doesn't sound too bad.

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-What do you think?

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-He sounds much better than he was.

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-Much better. Thanks.

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-You can have some peace now.

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-You can have some peace.

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-The next in is Elis Jones.

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-He's more than used to the hospital.

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-He's been ill

-for a couple of weeks.

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-We brought him here in the early

-hours of Monday morning, at 1.00am.

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-He just cried and cried.

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-He was struggling to breathe

-so we called an ambulance.

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-They told us to come straight here.

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-He's been up all night.

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-He's been crying

-and rubbing his ears.

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-I thought he might have

-an ear infection or something.

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-He had constipation too.

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-We don't know anything,

-they haven't told us anything yet.

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-He's given a urine sample...

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-..and we're waiting

-for the results to come back.

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-When he was born,

-he wasn't breathing.

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-He was in a box and we weren't

-allowed to touch him.

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-We weren't allowed to see him.

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-He had tubes in his nose.

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-The next day, they shifted him

-to Liverpool in a box.

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-He was covered in tubes

-when he arrived at Alder Hey.

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-He had a lump at the top

-of his nasal palate.

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-It was 3cm x 2cm wide.

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-He had to have an immediate

-operation. He had two, three fits.

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-He had one in Bangor

-and two in Alder Hey.

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-We didn't know what was going on.

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-We got there on Sunday, he had

-the operation on the Thursday.

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-It was a four-hour operation.

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-It basically just killed

-my partner and me.

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-Watching him not moving.

-Loads of tubes.

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-He wasn't the same.

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-We'd never seen him before.

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-After that Thursday,

-he got to come home on Monday.

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-He's been having regular check-ups

-in Alder Hey.

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-They wanted to see if the lump grew.

-So far, so good.

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-It's almost time to transfer Joshua

-to Manchester Children's Hospital.

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-Alder Hey have just phoned.

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-Harry's consultant doctor in

-Liverpool wants to assess him.

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-This is one of the biggest blips

-he's had since he came home.

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-They want to make sure

-that everything we do...

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-..is the right thing for him.

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-The machine he has isn't adjustable.

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-It's especially made for Harry.

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-They need to review it...

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-..to make sure that

-it's on the correct pressure.

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-It's what helps him

-through the day...

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-..to get the energy

-to do what he wants to do.

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-If that isn't right,

-it's going to show in the day.

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-I think that will be a full review.

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-I don't know if we'll be there

-for a day or two.

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-Hopefully,

-it will be there and back.

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-We won't know until we get there.

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-Your wife has just left,

-quite upset...

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-..thinking it'll be months again.

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-We were there a long time last time.

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-We were there a long time last time.

-

-How long?

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-Over eight months all together.

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-He's due a change on this peg too.

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-This is due,

-so they may change that.

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-What they try to do

-when we do go to Liverpool...

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-..as Harry can't travel

-far in the car.

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-Travelling to Liverpool takes

-two hours and a lot out of Harry.

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-To come back in the same day is

-difficult. Oh, yes.

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-He says no, he doesn't want to!

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-We'll have to see.

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-The babies are still coming

-to Dewi Ward.

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-This is Kaya.

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-She's been rushed here

-in an ambulance.

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-She's got a high temperature

-at present.

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-She's got dizzy spells.

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-Vomiting, diarrhoea.

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-The usual sort of things

-at the moment, really.

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-Not herself, yeah.

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-Took her to the surgery, the doctor

-wasn't happy with her heart rate.

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-It was too fast.

-Her breathing was really fast.

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-She phoned for the ambulance.

-We came in by ambulance.

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-By the time they turned up,

-she started looking a lot better.

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-As they do.

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-While one is waiting for a doctor,

-another is seeing a doctor.

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-They've said he can go home now,

-everything's OK.

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-Hopefully, everything's OK and we

-won't have to come back here.

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-He's got a minor ear infection.

-It's nothing.

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-We'll just go home now.

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-Harry, after less than two months

-at home...

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-..is on his way back to Liverpool.

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-Hi, how are you?

0:21:060:21:08

-I'm fine, and you?

0:21:080:21:08

-I'm fine, and you?

-

-Thank you. See you soon.

0:21:080:21:10

-Tomorrow!

0:21:100:21:12

-I hope he'll be OK on the way

-because it's a long journey.

0:21:150:21:19

-His mother is with him so he's safe.

0:21:190:21:21

-We know him better than anyone.

0:21:210:21:23

-I hope he won't get worse

-on the way.

0:21:230:21:25

-I don't want that to happen.

0:21:250:21:27

-At least we're going there now

-and we can sort this out.

0:21:270:21:31

-I'm driving up because I've got to

-come home and see to our daughter.

0:21:340:21:38

-It's hard, being in two places

-at the same time.

0:21:380:21:41

-Nain and Taid are looking after her.

0:21:410:21:44

-She's safe.

0:21:440:21:45

-It's been a long eight/nine months.

0:21:460:21:48

-It feels like you're going three

-steps forward, ten steps back.

0:21:490:21:54

-It is hard.

0:21:540:21:55

-He's all that matters.

-So long as he's safe, I'm happy.

0:21:560:21:59

-I'd be happier if he was at home.

0:21:590:22:01

-After eight hours on Dewi Ward...

0:22:160:22:18

-..Joshua is ready to go

-to Manchester Children's Hospital.

0:22:180:22:21

-There's a bed waiting for him

-at the intensive care unit.

0:22:300:22:34

-S4C Subtitles by Testun Cyf.

0:23:370:23:40

-.

0:23:410:23:41

Mae babi'n cael ei drosglwyddo ar frys i ysbyty ym Manceinion ac un arall yn dod i mewn o Ysbyty Alder Hey. A baby is rushed to a hospital in Manchester and another comes in from Alder Hey.