Pennod 7 Ward Plant


Pennod 7

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-Every morning on Dewi Ward, there

-are jobs that have to be done.

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-Filling the white board...

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-..making breakfast...

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-..and cleaning.

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-Cleaning is essential.

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-Sally is an old hand.

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-Sally, for how long

-have you cleaned this ward?

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-I've been here for about 32 years.

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-I've been everywhere...

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-..in St David's and here.

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-I've been everywhere,

-but I'm based here.

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-Do you like cleaning?

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-Yes.

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-Do you clean at home?

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-Yes.

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-We have a farm,

-so there's work there.

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-I could do it all day! Someone comes

-in with dirty feet all the time.

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-I have blue cloths for those rooms.

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-The ones for the toilets are red.

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-This is for the toilets.

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-So you don't mix

-the red and blue ones.

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-No.

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-These are for the floors.

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-These are for the toilet floors.

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-They're ready

-if they're needed there...

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-..and in the toilets.

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-Eleri,

-the children's cancer nurse...

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-..is thinking about a girl

-with a high temperature...

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-..who arrived last night.

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-Right, what's the plan with Daisy?

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-I emailed Jo, her nurse

-practitioner in Manchester.

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-She's supposed to be there today.

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-I wanted to check the Cyclosporine

-dose, because she hasn't had it yet.

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-I checked her blood results

-this morning.

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-The Hb has gone up

-to 8 from 73, so it's 80.

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-The platelets have

-gone down one or two.

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-Her Neuts have gone from 4.3 to 1.6.

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-Her CRP is 119.

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-It's high.

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-I'll just

-do the Cyclosporine this morning.

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-Dr Kubwalo suggested

-she should go to Manchester.

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-But how are we going to fit

-the antibiotics round that?

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-I'll talk to Jo again.

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-I'll talk to Jo again.

-

-See what they want to do.

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-Ask if they want us to transfuse her

-too. Maybe they won't want that.

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-I don't know how

-long she's had a temperature.

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-Something is going on.

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-Something is going on.

-

-Yes.

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-Should I phone Manchester too, or

-would that just complicate things?

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-I'll let Jo know

-how things are going.

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-I emailed her at 7.00am.

-She obviously wasn't in.

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-I'll check that and do her blood.

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-I'll talk to her.

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-Let me know if I should phone too.

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-I don't want both of us

-to have the same conversation.

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-But we need to sort it out.

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-OK. Thanks.

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-Cian is supposed to have

-grommets in his ears today.

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-But I don't think

-Cian is at all keen.

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-No, never, nothing doing.

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-No, thanks!

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-No, thanks! OK.

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-You go first.

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-Weigh together.

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-Sit there.

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-No!

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-CIAN PROTESTS

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-Mum needs to carry him.

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-If you have trouble weighing him...

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-I'm going to have trouble later.

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-He's had this before.

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-It'll take four men to hold him down

-to have the anaesthetic!

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-Oh, dear.

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-It's going to be fun.

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-So you weren't looking forward.

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-So you weren't looking forward.

-

-No, not at all.

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-I know how he was last time.

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-He's strong for his age.

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-No way.

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-Yes way.

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-Have you tried preparing him?

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-Yes, I've put cream

-on his hand every other day.

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-We didn't tell him why we were

-coming here. He'd work himself up.

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-What does he think he's doing today?

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-He knows now.

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-It's brought everything

-back from January.

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-He's calmer than last time.

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-Aren't you?

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-Unlike Cian, Daisy is an old hand.

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-Little Daisy had a bone marrow

-transplant recently.

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-One of the drugs she's on...

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-..to stop her rejecting

-the bone marrow, is Cyclosporine.

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-We want to see what

-the levels are this morning.

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-We'll see. She might

-be able to go home soon.

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-Now, I'm going to...

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-..prepare everything, to take blood.

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-I don't want to take too much,

-or she'll need a transfusion.

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-It started in November,

-when she became ill.

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-In February,

-they found that she had HLH.

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-What is HLH?

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-I thought you'd ask!

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-HLH is Haemophagocytic

-Lymphohistiocytosis.

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-Yes.

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-Whew! That's a mouthful.

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-We abbreviate it

-for obvious reasons.

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-She had a bone marrow transplant.

-When was it?

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-July the 19th.

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-Yes, July this year.

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-She had to have

-the bone marrow transplant.

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-HLH affects the immune system.

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-Unfortunately,

-it can go either way.

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-So she had the transplant

-and look at her now!

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-She isn't the same girl.

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-And Cian won't be the same boy...

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-Fish.

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-Fish.

-

-Fish.

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-..if he takes medication

-to help him relax.

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-Good luck, Nurse Perlita.

-You'll need it.

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-Okey-dokey. Tell me his name.

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-Cian Rhys Roberts.

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-Say Ah!

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-Ah!

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-Do you want dad to do it?

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-Come here!

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-CIAN GIGGLES

-

-You're playing the fool!

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-Do you want a sticker?

-Put the medicine in your mouth.

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-Open your mouth.

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-Ppphh!

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-Ugh!

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-Lowri, help!

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-When Dad fails,

-Mam has to be brought in.

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-Aah!

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-Come on.

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-Open your mouth.

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-It's gone.

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-It's gone.

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-There you go.

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-There you go.

-

-Sorry.

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-OK.

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-He will be a bit drowsy.

-He needs to stay on the bed.

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-Do you want to wash your hands?

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-Thank you.

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-Slowly!

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-Come on.

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-Stop.

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-That one.

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-No!

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-Daisy's surgeon

-in the Manchester hospital...

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-..has asked for a repeat blood test.

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-Daisy has just had

-a bone marrow transplant.

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-Any infection would be dangerous.

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-Who was the bone marrow donor?

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-Herself.

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-They took a sample of Daisy's

-bone marrow and cleaned it.

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-Then she had it back.

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-But of course, she had to have

-pre-chemo conditioning first.

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-That made her a bit ill.

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-But everything went well after that.

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-These will take

-about half an hour to process.

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-Then we'll know

-if the dose is right.

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-Cyclosporine

-is an anti-rejection drug.

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-It's important

-to get the dosages right...

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-..and that the levels

-are right for Daisy.

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-Daisy has been on so many drugs

-and had so many blood tests...

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-..she has a port, a small device

-that goes straight to the vein.

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-Do you think this

-is going to work now, Dais?

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-Yes!

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-Take a good bit here.

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-OK.

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-It's dilute, isn't it?

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-Not the usual.

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-You haven't been

-on the Guinness, have you?

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-No.

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-Ready to clamp it for Eleri?

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-Just a minute.

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-Why is it not going up, Dais?

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-Do you want to clamp it?

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-Do you want me to do it?

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-Eleri will do it, with you.

-Do you want to do it with me?

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-One, two, three.

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-Whee! There we go.

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-Cian had his medication

-half an hour ago.

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-Is the idea of surgery

-more acceptable now?

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-Do you want to go to see the fishes?

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-No!

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-CIAN CRIES

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-Want to stay.

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-No, I don't think so.

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-There you are.

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-You can play with the iPad.

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-OK?

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-We'll see the fish now.

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-.

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-Subtitles

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-Subtitles

-

-Subtitles

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-In Room Five, Cian is about

-to have a pair of grommets...

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-..if, and it's quite a big if...

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-..if they can get him to sleep.

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-Tickle your feet!

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-Are you ticklish?

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-Aah!

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-Aah! Biting me!

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-Have you seen our mask?

-This is what fighter pilots have.

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-No!

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-Good boy.

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-Hush.

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-WAILS

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-At last, Cian is asleep.

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-But his father is wide awake.

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-SNIFFS

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-He won't remember any of that.

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-He's sound asleep.

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-You feel for him.

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-Yes.

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-Was that hard?

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-Was that hard?

-

-Hellish.

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-In Theatre 5,

-they start work without delay.

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-Placing two small pieces

-of plastic is easy...

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-..compared to preparing Cian.

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-You'll hear yourself

-making a racket, Cian.

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-This boy isn't having

-something put in his ear...

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-..but having something removed.

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-What is your name?

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-What is your name?

-

-Mackenzie.

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-You don't look very ill!

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-No!

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-What's the matter?

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-There's something in my ear.

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-Tell me the story.

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-I don't know, really.

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-About a month ago, I told Mam,

-"I can't hear with this ear."

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-We went to the doctor's yesterday.

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-There's something plastic in my ear.

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-When you told Mam

-you couldn't hear, what did Mam say?

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-Did Mam think

-you were making a fuss?

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-Mam thought you just wanted

-to listen to loud music.

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-When the doctor said

-he could see something...

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-..Mam felt very guilty.

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-What do they think it is?

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-They're not sure.

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-They couldn't see properly, but

-it might be a small plastic tube.

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-So what's happening today?

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-They'll look

-and take it out, hopefully.

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-How?

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-They haven't told us. I don't know.

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-Mackenzie, I hear...

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-..you're quite well-known.

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-Yes.

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-"If this is your first video,

-please subscribe.

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-"If you like the video,

-please, thumbs up.

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-"The link is down below.

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-"Ta-ta!

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-How many subscribers do you have?

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-I don't know, really.

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-How many did you have last time?

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-How many did you have last time?

-

-Eighteen.

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-Nineteen.

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-Cian is back, calm and quiet...

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-..for a while, at least.

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-Now they tell us!

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-Don't want that!

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-The doctor's coming to pull it.

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-The doctor's coming to pull it.

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-That!

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-The doctor has arrived to remove

-whatever is in Mackenzie's ear.

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-What is it?

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-A train?

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-A piece of pizza?

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-What about filming it, Mam?

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-OK, there we are.

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-It's out now.

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-The doctor has no idea what it is.

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-Since he put it in,

-does Mackenzie know?

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-I think it's from a hoodie.

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-You know the part

-you pull on a hoodie?

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-There's a bit you can pull.

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-I think it's that bit.

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-What was in your ear?

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-What was in your ear?

-

-I don't know.

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-Did you use it to scratch your ear?

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-Did you use it to scratch your ear?

-

-No.

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-Can I take the plastic thing home?

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-Can I take the plastic thing home?

-

-Yes, of course you can.

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-We'll put it in a pot for you.

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-You can take it home

-and show it to your friends. OK?

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-Can I have a last look in your ear?

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-Daisy's blood test results are back.

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-She's got to go to Manchester now.

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-Her consultant said

-he wants her to be in that hospital.

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-He can monitor her a lot better.

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-A few of her blood results

-are quite low.

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-It's a big sign that

-she's got an infection somewhere.

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-But they're not too sure where.

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-So she's got to be on constant

-antibiotics at the moment.

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-Are you all packed?

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-Are you all packed?

-

-Yes, well, not really.

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-I'll have to get my mum

-to meet me at the hospital...

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-..because I've not

-been able to go home.

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-When they said

-you had to go to Manchester...

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-..what did you think?

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-I don't want to go.

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-I don't really have a choice.

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-It's the best place for her anyway.

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-But it is a bit of a nightmare.

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-Mackenzie,

-what will you do with that?

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-Show it in school.

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-Will you put it on YouTube?

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-Yes.

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-What will you say?

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-What message will you put

-on your YouTube channel?

0:19:190:19:23

-Don't worry if you have

-something in your ear.

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-Just go to hospital to take it out.

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-You don't have to worry.

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-What if mothers say, "There's

-nothing wrong with your ear."

0:19:340:19:39

-Don't listen...

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-..she'll still like you.

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-BACKGROUND GIGGLES

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-What will Mam say on YouTube?

0:19:490:19:51

-Can Mam be on YouTube?

0:19:510:19:53

-Listen to your child next time.

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-Yes. Listen to your children.

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-It's time for Mackenzie

-to go home...

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-..and Cian too.

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-He's much happier now

-than when he arrived.

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-But little Daisy

-is going back to Manchester.

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-It's a type of blood cancer.

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-She had a bone marrow

-transplant under Manchester's care.

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-That's why you're going there

-and not to Alder Hey.

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-All her care is under Manchester.

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-She came here last night

-with a temperature.

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-Her blood results aren't right.

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-We phoned for advice this morning

-to see if we could manage her here.

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-But the professor in Manchester

-wants to give her a check over.

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-Maybe her mother could carry her.

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-You needn't bring the stretcher in.

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-You needn't bring the stretcher in.

-

-No problem.

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-Hello. Hiya, Daisy.

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-I'm going now.

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-You're going now!

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-These nice people are going

-to take you to Manchester. OK?

0:21:060:21:10

-Are you coming with us?

0:21:110:21:11

-Are you coming with us?

-

-Yes.

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-Are you going to go for a drive?

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-Are you going to go for a drive?

-

-Yes.

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-She has a central line,

-but she's had her antibiotics.

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-She shouldn't need

-anything on the way.

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-The NG tube is for medication.

-She won't take it orally.

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-Mam will do it if needed.

-I don't think it will be. OK?

0:21:270:21:31

-Alright?

0:21:330:21:35

-Do you want me to carry it for you?

0:21:350:21:37

-Thanks.

0:21:390:21:40

-Hello!

0:21:410:21:42

-Hiya.

0:21:430:21:44

-Just for a minute.

-Then we'll get you in the seat.

0:21:590:22:03

-Since having grommets,

-Cian can hear much better.

0:22:240:22:28

-Daisy still goes to Manchester

-for treatment every fortnight...

0:22:290:22:34

-..but her hair has

-started to grow back.

0:22:340:22:37

-Mackenzie's page

-has 153 followers now.

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