Pennod 9 Ward Plant


Pennod 9

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-Aaron Jones from Penisa'r-waun...

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-..has just spent his fifth night

-on Dewi Ward.

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-Hi, are you OK? I'm phoning to say

-that I can't come in again today.

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-Erin is still poorly.

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-Gavin came in last night too.

-They're both in now.

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-Aaron is a father to three children.

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-He's concerned about the twins.

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-Erin is getting better.

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-They're hoping to wean her

-off the oxygen today.

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-Gavin isn't too bad.

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-They wanted to bring him in

-just in case he got worse.

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-They don't want him

-to get into the same situation.

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-They don't want him

-to get as bad as his sister.

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-They're keeping an eye on him.

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-I think his fever is the cause

-for concern. He's also choking.

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-He coughed up some mucus

-this morning.

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-He's feeding and taking a bottle.

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-He is eating much less than he was.

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-They want to keep an eye

-on his stats.

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-Hi, we're Gavin and Erin's

-parents.

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-This is the second time

-Gavin's been in the hospital.

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-He might be here because

-he misses his sister this time.

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-Look how happy he is.

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-Does he always smile like that?

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-Does he always smile like that?

-

-Yes, always.

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-He's always happy.

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-Aren't you?

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-Even when we brought him in

-yesterday...

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-..he was sat in the car seat

-smiling and talking.

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-He was sat there making noises.

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-Weren't you?

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-You didn't want a dummy

-in your mouth, did you?

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-You wanted to talk, didn't you?

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-Where's Erin?

-She's next door to Gavin.

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-Gavin, I think

-she'll be staying next door...

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-..just in case she catches

-whatever you have.

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-How many more of the family

-to come in today?

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-None, I hope not!

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-It is very hard.

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-I've got another two-year-old

-daughter at home as well.

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-Trying to keep her happy with Gavin

-being at my Mam's house as well.

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-It was just trying to keep them all

-happy and trying to get her better.

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-It has been hard.

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-The day is only beginning.

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-It looks as if it might

-be a hard day for Sister Mel.

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-We don't have a lot of empty beds.

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-I think they're few and far between

-across our patch.

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-Glan Clwyd and Wrexham are low too.

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-So, we have to do our best to empty

-the beds.

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-Hopefully.

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-Hopefully.

-

-What are they, mostly?

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-We've got everything here.

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-Surgical, medical, ENT.

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-We've got a bit of everything

-this morning.

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-We're going to be chasing up

-everyone.

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-We'll be asking them

-to empty the beds if they can.

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-It's unlikely that Sara

-will want to leave her bed.

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-How are things this morning?

-Are you better?

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-What?

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-Are you better?

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-A bit.

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-What are you doing this morning?

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-Umm, watching Justin on television.

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-Watching television.

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-Watching Cyw?

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-No. CBeebies.

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-CBeebies. Sounds good.

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-How are things this morning?

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-A bit better this morning.

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-Yes.

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-She's on Nabs every two hours.

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-We're hoping it will increase

-to three hours during the day today.

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-We're hoping she'll be a bit better

-and can go home tomorrow.

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-We're hoping.

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-Nothing is certain yet.

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-Things are looking up for us.

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-What kind of night did you have?

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-What kind of night did you have?

-

-It was OK last night.

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-It was OK last night.

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-The nurses were back

-and forth all night.

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-It wasn't easy to sleep.

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-She had a good night.

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-Where are you?

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-We're in Bay One, Bed One now.

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-We've moved around a bit

-since yesterday.

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-It's been busy here. We've had a lot

-of small children in here today.

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-It's quite busy.

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-We're trying to get a connector off

-the top of this NG tube.

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-Anna put it on

-and now we can't get it off.

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-That doesn't stay on that end pen.

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-We don't want to have to change the

-tube because we can't get this out.

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-Stay here, hold this, I'll get

-some forceps to try with those.

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-Abdul has had trouble eating

-for a week.

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-Abdul.

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-Abdul's in quite often with you,

-isn't he?

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-He's been in a lot, yes.

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-What's wrong with Abdul?

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-He's not eating.

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-That's why he has a tube.

-We pour milk down the tube.

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-We do that

-until he's ready to start eating.

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-Who needs a plumber when Sister Mel

-and her forceps are around?

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-There it is. Problem sorted.

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-There it is. Problem sorted.

-

-You can do it next time.

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-Thank you.

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-Can we get some fruit? I really

-don't know why he's not feeding.

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-A bit of vomiting, yeah?

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-What's going down the tube

-is staying down.

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-He's not being sick.

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-Not since I've been here

-this morning.

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-When was he last sick?

-Was it before he came in yesterday?

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-When he was sick...

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-..was it just milk that came up

-or was it a bit mucusy?

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-Only his milk

-and the medicine which he takes.

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-Can I have a little listen then?

-Yeah?

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-Let's have a listen.

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-I don't know Abdul very well. A lot

-of people who work here know him.

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-Obviously,

-he can't tell us what's wrong.

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-The only clue we have

-is that he wasn't eating yesterday.

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-He usually drinks milk

-without any bother.

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-For some reason, he vomited once

-yesterday, then refused to feed.

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-We don't know

-if he has stomach ache.

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-It doesn't seem as if he has

-stomach ache, he isn't crying.

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-Children in pain

-have a raised heartbeat.

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-Other symptoms to consider is

-whether or not he has a sore throat.

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-His throat isn't red, it doesn't

-look like that's the issue.

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-It might be a virus, we all go

-off our food when we're poorly.

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-It could be that.

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-It's hard to know what it is.

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-We need an extended period

-of observation.

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-We'll take his temperature

-and check his heart beat.

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-We'll check his throat again.

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-We've all done it, looked down

-throats that look normal...

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-..and the next morning,

-it's clear there's tonsillitis.

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-With children who won't take a

-bottle we can try other means.

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-We give them an iced lolly or jelly

-to ensure they have fluids.

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-We can't with Abdul.

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-He's a bit harder to manage

-when he's off his food.

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-There's been a concern in the past

-that he hasn't gaine enough weight.

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-That seems to have settled.

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-We don't want to return to that.

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-He can stay in for today

-and we'll see if we can work it out.

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-If it settles and he takes a bottle,

-he can go home.

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-But if he's coming down with

-tonsillitis, it will show up soon.

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-At least then,

-we'll know how to treat him.

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-Next on Dr Mair's round

-is a young lad...

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-..who had a bad reaction

-after eating a nut.

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-Are you Calumn?

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-Yes? Good boy.

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-Tell me what happened yesterday.

-What had he eaten, exactly?

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-Peanuts.

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-Was it just a peanut or was it a

-peanut in a bar of chocolate?

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-Just a little bit.

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-Just one peanut. OK.

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-Calumn seems to have had an allergic

-reaction to a peanut yesterday.

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-It's quite weird.

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-He's eaten peanuts before

-but it was a long time ago...

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-..according to his Dad.

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-He's never eaten other nuts

-which is a bit strange...

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-..particularly considering

-their background.

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-A lot of Chinese food contains nuts.

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-They use peanut oil to cook too.

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-The father was quite specific

-that they hadn't used peanut oil.

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-It's a bit unusual.

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-The lad told me that he could feel

-a bit in his throat too.

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-The nut stuck this way.

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-The nut stuck this way.

-

-It stuck in your throat, did it?

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-Did it make you cough a little bit?

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-No, you weren't doing that?

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-When we decide if someone needs

-an EpiPen or not...

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-..the EpiPen is an injection...

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-..it's what he was given

-at the doctor's surgery.

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-We have a risk assessment

-to carry out.

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-Sometimes, it's abundantly clear.

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-If they've eaten a peanut

-and collapsed...

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-..and puffed up straight away,

-it's obvious they need an EpiPen.

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-It didn't happen with him. They got

-a chance to take him to the surgery.

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-There was about 20 minutes between

-eating the nut and an injection.

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-He didn't swallow the peanut.

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-He had a reaction, if Dad and I

-have understood each other...

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-..he had a reaction despite not

-swallowing the nut.

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-Putting it in his mouth was enough.

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-Despite his reaction not being

-as acute as others...

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-..he reacted to just touching

-this nut.

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-It's a point that makes me think

-it's a bit more serious.

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-The other consideration is

-that he's also allergic to eggs.

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-He has a background of being

-prone to allergies.

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-He's also got eczema.

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-To be honest,

-in this risk assessment...

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-..the most significant factor

-after collapsing and puffing up..

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-..is whether or not

-they have asthma.

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-He doesn't have that.

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-I still think on balance

-if we look at the facts...

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-..he's a young lad

-with other allergies.

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-He's reacted without swallowing

-the peanut, he needs an EpiPen.

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-Does that make sense?

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-Do you think it would be helpful...

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-..for his mum to come in to be

-taught how to use the injection?

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-It might be helpful

-if the two of you know.

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-OK, yes, thank you.

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-Thank you.

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-.

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-Subtitles

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-Abdul has a history of fits.

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-The doctors need to perform an

-electroencephalogram test...

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-..or EEG for short.

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-They want to see exactly

-what's going on in the brain.

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-Usually, Abdul is quite lively.

-He's quite active and talkative.

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-But he isn't quite 100%.

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-We're going to monitor

-brain wave activity...

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-..and what's going on

-at this moment in time.

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-Sometimes with children

-having seizures...

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-..they don't come

-out of the attacks properly.

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-We want to see if the electrical

-changes are still there as well.

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-That will determine

-what type of medication...

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-..and management

-is needed for Abdul.

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-Electrodes measure behaviour

-in the brain.

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-They have to be connected

-to specific areas of the head.

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-It's a process

-which takes around 20 minutes.

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-He's had them before.

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-How many times

-has Abdul had the EEG?

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-About four or five times.

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-Those patterns in Abdul's brain

-look pretty.

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-For Julie Evans

-the Clinical Physiologist...

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-..they show Abdul's still

-in his own little world.

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-He's still in a fit.

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-It's why he doesn't want any food.

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-Calumn Wang is on his way home

-to Llanfairpwll.

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-He's going home

-with two new EpiPens.

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-Sister Mel has been showing

-the parents how they work.

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-We've got this kit on the ward.

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-People who make the pens

-give them to us.

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-Inside, we'll go inside it now.

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-They come with information

-for the parents.

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-There's a DVD

-that talks about allergies...

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-..what happens

-and how we treat them.

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-They get a dummy pen like this...

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-..which looks like the one

-they'll take home...

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-..so that we can demonstrate

-to them how to use it.

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-And then they can also show

-other members of the family too.

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-The child won't just be with them.

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-They get this to take home.

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-We go through this.

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-We then give them the ones they can

-take home with the drugs in them.

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-They also take this home with them.

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-If something hasn't clicked

-or they aren't sure what to do...

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-..they have the information on paper

-and they also have the DVD.

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-It's always helpful.

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-Sometimes, things make more sense

-when you see them...

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-..rather than someone telling you

-or when you read about it.

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-We tell them that the best place

-to administer it is in the thigh...

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-..into a large muscle

-at the top of the leg.

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-Take a good, firm hold of it.

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-You have to put it in the leg

-until you hear a click.

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-You need a click

-and then count to ten...

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-..to make sure all the medicine

-is out of the pen...

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-..and in to the patient.

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-After that, you have

-to pull it out of the leg.

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-It will save a life, will it?

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-It has enough effect on what happens

-in the body due to the allergy.

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-It gives you enough time

-to phone 999...

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-..and get an ambulance to assist.

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-It's always this first

-and then phone an ambulance.

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-Every patient gets two of these.

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-If an ambulance hasn't arrived

-within ten minutes...

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-..and the symptoms are the same

-or worse, they give the second one.

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-Every patient has two of these

-wherever they go.

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-It's time to assess Gavin.

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-With a bit of luck, his father's

-long stay on Dewi Ward is over.

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-Alright, sweetheart?

-You go home today.

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-Yes, please.

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-If anything worries you,

-give us a shout, come back.

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-Do you have any questions

-at the moment?

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-No, that's great, thank you.

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-No, that's great, thank you.

-

-OK, sweetheart. Bye-bye.

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-What do you think of that news?

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-I'm happy really that we don't have

-to stay any longer.

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-Let's hope we get

-some good news with Erin.

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-Hopefully she

-gets to come home today too.

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-Don't we? It's OK.

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-There we are.

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-Many of the children on the ward

-have breathing difficulties.

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-It means they're here frequently.

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-Katie here is 14 years old.

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-She comes in and out quite often.

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-We know her quite well.

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-She's come in this time

-because of her chest.

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-Katie has a neurological condition.

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-Sometimes, she comes in

-and she'll be on oxygen.

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-She's come in this time

-and had an X-ray.

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-She needs oxygen.

-She's on oxygen at the moment.

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-She's also on antibiotics

-to treat her chest.

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-She gets nebulizers.

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-She's on a salbutamol nebulizer

-every four hours currently.

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-We're doing that

-because her chest is quite wheezy.

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-It helps to open her lungs.

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-She's still on oxygen

-so she gets a nebulizer too.

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-Mum is used to playing nurse.

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-She has two other children with

-similar problems to Katie at home.

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-She chose to adopt them.

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-We would never have taken

-on the three children...

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-..if it hadn't have been

-for the family decision.

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-It wasn't just our decision.

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-My husband works full-time as well.

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-We all just sat together...

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-..each time we knew there

-was a child that was coming...

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-..we sat and discussed it.

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-We asked, "can we do this?"

-And we all said yes.

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-It's just a complete

-way of life now.

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-We just do it

-without even thinking...

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-..whether it means

-travelling to Alder Hey...

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-..which is something we do

-regularly...

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-..it just works because everyone

-steps in and covers...

0:18:440:18:48

-..so we can carry on.

0:18:480:18:50

-With the other children at home

-having a life...

0:18:500:18:53

-..everybody gets on with it.

0:18:540:18:55

-She doesn't have one child,

-she has three.

0:18:570:18:59

-The mother doesn't complain at all.

0:18:590:19:02

-She's amazing.

0:19:040:19:06

-Having understood

-Abdul's condition...

0:19:130:19:16

-..the doctors, for the time being,

-have changed his feeding method.

0:19:160:19:21

-We're now going to feed Abdul

-through a tube.

0:19:220:19:27

-After the EEG earlier...

0:19:270:19:29

-..we realized that he's having

-a prolonged seizure.

0:19:290:19:33

-Due to the effects

-of this seizure...

0:19:340:19:37

-..we've decided it's better for him

-not to get food through the mouth.

0:19:370:19:43

-The doctors decided it's better

-for him not to be fed orally.

0:19:430:19:48

-They've increased his medication

-to see if that settles him...

0:19:480:19:56

-..and see if it brings him

-out of the seizure.

0:19:570:20:00

-That's what we're hoping.

0:20:000:20:02

-The food he's getting

-contains more calories...

0:20:020:20:08

-..which is better

-than regular cow's milk.

0:20:080:20:12

-It provides all the nutrients

-and calories, as he's not eating.

0:20:130:20:18

-As the sun goes down,

-the bed situation at Dewi Ward...

0:20:260:20:30

-..is no better

-than it was this morning.

0:20:300:20:33

-Two beds.

0:20:330:20:34

-But I've got a double ward round

-on going.

0:20:350:20:37

-Sorry, where are you phoning from?

0:20:380:20:40

-Oh, so you're here, I thought you'd

-be in the other children's ward.

0:20:410:20:44

-There's a double ward round

-on-going.

0:20:450:20:47

-OK. Bye, bye.

0:20:470:20:49

-How's the situation?

0:20:520:20:53

-The hospital's bleep holder wanted

-to know how many beds we have.

0:20:530:20:57

-If it's serious elsewhere, they want

-to know how many beds we have.

0:20:570:21:01

-Did you say two?

0:21:010:21:03

-Did you say two?

-

-Yes.

0:21:030:21:04

-There's a baby on the way in.

-We've only got one, really.

0:21:040:21:07

-Yes.

0:21:070:21:08

-There are two ward rounds in

-progress. Maybe, a few will go home.

0:21:080:21:12

-What can I do?

0:21:140:21:15

-Keep smiling and carry on.

-There's nothing else we can do.

0:21:150:21:19

-Gavin is on his way to Nain's house.

0:21:230:21:26

-His sister is staying in

-for another night.

0:21:260:21:29

-Yes, we can take him home now.

0:21:290:21:32

-We're taking him down

-to Kim's mother's house.

0:21:320:21:36

-She'll watch over him

-while we're here with Erin.

0:21:360:21:39

-Hopefully, Erin can come home

-tomorrow morning.

0:21:390:21:42

-She feeds alright now.

0:21:420:21:44

-Hopefully, she'll feed well

-for the rest of the day.

0:21:440:21:49

-There's one more empty bed.

0:21:510:21:54

-After almost a week in the hospital,

-Sara is also on her way home.

0:21:540:21:59

-We're allowed to go home now.

-Sara's better.

0:22:000:22:03

-We're going home for a while.

0:22:030:22:05

-Hopefully, we won't have another

-episode for a while.

0:22:060:22:10

-It's good news. We're heading home

-now and we're better.

0:22:100:22:13

-Home, James!

0:22:150:22:16

-Can we go now?

0:22:170:22:18

-Katie was on Dewi Ward

-for 15 days before going home.

0:22:210:22:25

-Calumn hasn't

-had to use his EpiPen yet.

0:22:260:22:30

-Abdul is better

-after new medication.

0:22:310:22:35

-Gavin has been as fit as a fiddle

-since arriving home.

0:22:360:22:40

-S4C Subtitles by Testun Cyf.

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