Pennod 5 Ward Plant


Pennod 5

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Transcript


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-It's 7.00am.

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-Dewi Ward's night nurses

-are finishing their ten hour shift.

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-After a half hour meeting

-to sort things out...

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-..the night owls go home and

-the early birds take their place.

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-It's Monday morning.

-We've just arrived.

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-I've allocated patients to nurses.

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-We'll prepare breakfast

-and tidy up, before the ward round.

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-Goodnight!

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-Dr Helen's first patient

-arrived yesterday.

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-Owain Fon Roberts

-comes from Caernarfon.

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-I've been hearing

-about your toe. Is that right?

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-His big toe is slightly swollen.

-No big problem, you might say.

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-But a small, neglected

-injury can become serious.

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-How about this bit going up

-your leg? Let's have a look.

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-Is that T-shirt big enough?

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-Is that T-shirt big enough?

-

-It's a lot better than last night.

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-Right. Was it all tracking up here?

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-That's much better, isn't it?

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-He probably got

-an injury to his toe...

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-..or something stung him.

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-The blood's white cells have

-gone there to fight the infection.

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-It swells

-and pus gathers in that area.

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-It has to be treated.

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-He needs IV antibiotics

-through a drip first.

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-That's because they work better and

-faster and they're a bit stronger...

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-..to stop the infection

-getting worse.

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-It gets on top of it

-and dampens the response.

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-Then he'll have oral antibiotics.

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-We start with IV, to make sure.

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-Big breaths!

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-It's important to look at every

-child from head to foot...

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-..at every opportunity...

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-..on arrival and every

-morning on the ward round.

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-Some things can go from one part of

-the body and settle somewhere else.

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-If a child

-has a problem on the knee...

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-..it doesn't mean it started there.

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-Very often, if children

-have a throat infection...

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-..germs can spread round the body

-and settle far from the throat.

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-If there's one problem, there

-might be another we could miss.

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-So it's always important

-to look at the whole child...

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-..not just the part

-where we know there's a problem.

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-This boy has insisted his father

-leaves his work in the theatre.

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-He wants his father there

-when he gives blood.

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-Mam works here too as a midwife,

-but Alfie is a daddy's boy.

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-I'm Lisa.

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-I'm here with my son

-because he has trouble jumping...

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-..and running too.

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-He always has.

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-The doctors aren't sure why.

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-He's seen a lot of doctors

-and they still don't know.

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-He's come for a blood test today

-to rule out Muscular Dystrophy.

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-It's like dad's.

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-It's a progressive,

-muscle-wasting disease.

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-Children walk and run normally.

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-But when they're four or five years

-old, they start to deteriorate.

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-They get weaker and can't walk

-or run properly and climb stairs.

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-They can't keep up with friends.

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-It progresses.

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-When they're eight,

-they have to use a wheelchair.

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-It is fatal.

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-People usually live

-to their twenties, maybe thirty.

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-It takes over

-the voluntary muscles first...

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-..then the involuntary muscles,

-like the heart.

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-Alfie, alright?

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-Where's Wally, are you doing that?

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-Where's Wally, are you doing that?

-

-That's me!

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-You could hold him on your lap...

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-..with his arm behind your back.

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-Mam, dad!

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-Mam, dad!

-

-It's OK, love.

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-It's lucky dad's knee is available.

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-Poor Alfie knows

-what's going to happen.

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-Is that alright, Alfie?

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-ALFIE CRIES

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-OK.

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-Unfortunately,

-it's not his first blood test.

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-It's worse this time,

-because he remembers.

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-But because Stuart

-and I work here...

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-..we know it'll be over quickly.

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-It isn't too painful for us.

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-It's horrible

-to see him cry, obviously.

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-But it'll soon be over.

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-We do it every day ourselves.

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-He'll be fine.

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-High five! Hold on.

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-There you are. You're alright now.

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-Can I have a high five? Nice one.

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-And knuckles.

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-Skin.

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-Yeah!

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-You're a good boy.

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-How many kinds

-of children are there? Two.

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-Children who hate hospital

-and children who love hospital.

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-Guto is one of

-the second kind, I'd say.

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-Why are you here today, Guto?

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-Why are you here today, Guto?

-

-To have my teeth taken out.

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-All of them?

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-All of them?

-

-No, only four.

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-They want to save one.

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-Why do they have

-to take your teeth out?

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-Because they won't grow.

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-Because they won't grow.

-

-They won't grow? Can you show me?

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-They won't come out.

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-Which ones will they take out?

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-I don't know. All my baby teeth.

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-I still have a lot left.

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-Open your mouth wide. Do you

-know which ones are coming out?

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-No.

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-Which ones would you

-like them to take out?

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-All the babies. Then they'll grow.

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-Have you had this before?

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-Have you had this before?

-

-No.

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-Are you fairly cool about it?

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-Are you fairly cool about it?

-

-Yes.

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-I'm not afraid.

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-Not really.

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-Do you want food?

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-Yes, terribly. But I can't.

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-Why not?

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-I'm having an anaesthetic.

-I'm not supposed to eat.

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-I was about to eat something,

-but I didn't.

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-He almost had a drink

-in the car earlier.

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-I was drinking Ribena as I drove.

-I said, "Hold that."

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-You almost had a sip, didn't you?

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-Yes.

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-Yes.

-

-I shouted!

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-I remembered. "No, don't!"

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-So I stopped.

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-I thought, "Oh, I'm hungry!"

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-But I can't.

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-Mam's hungry too.

-I didn't eat this morning.

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-Mam's scared of eating in front

-of me and making me jealous.

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-I haven't eaten this morning.

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-I couldn't eat in front of him,

-or he'd be even more hungry.

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-So I'm starving, you're starving!

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-It's high time these teeth came out!

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-Yes!

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-We can have a McDonald's

-or something on the way home!

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-Nicola Franklin from Deiniolen has

-also come to have teeth taken out.

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-Down here?

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-It's nice.

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-This way.

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-Hi!

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-I've never seen anyone

-looking so happy coming to hospital!

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-She looks really happy.

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-Have you had breakfast?

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-Yes.

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-No.

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-I don't remember.

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-Don't worry.

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-Don't worry.

-

-Why?

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-I'm Anna.

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-I'll take your temperature.

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-I'm not having...

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-Not having what?

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-Not having what?

-

-An injection.

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-Maybe just the mask?

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-Maybe just the mask?

-

-Yes.

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-With a bit of oxygen.

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-I don't want an injection anyway.

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-I don't want an injection anyway.

-

-OK.

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-OK. We'll just have a mask later.

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-OK. We'll just have a mask later.

-

-Sorry about that.

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-It's alright. No need to say sorry!

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-Hello, I'm Carwyn, one of the

-Ysbyty Gwynedd children's doctors.

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-I'm looking for Guto.

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-Here you are. Alright?

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-Here you are. Alright?

-

-Yes, thanks.

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-I'm checking

-what operation he's having today.

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-Taking his teeth out.

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-Why do you use a mask

-and a needle to make me sleep?

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-The needle makes you

-a little sleepy.

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-The mask helps.

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-We give two types of anaesthetic.

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-One works straightaway...

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-..and makes you feel

-as if you're about to fall asleep.

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-When we put the mask on you...

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-..it makes you sleep very deeply

-for the operation.

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-OK.

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-Is that OK?

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-Yes, perfect.

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-LAUGHTER

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-I tried to answer!

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-Mam said you put the needle in so if

-you wanted to give an injection...

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-..you could put it

-straight in the blood vessels.

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-We do.

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-We can give antibiotics

-and IV fluids like that...

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-..and not just anaesthetic.

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-Happy now?

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-Happy now?

-

-Yes.

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-Thanks.

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-Thanks.

-

-Thank you.

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-But Nicola is first

-on the tooth extraction list.

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-Good girl.

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-Are you alright?

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-You look smart!

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-Can I borrow them?

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-No!

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-I don't think so.

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-Nain will be nearby.

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-Nain will be nearby.

-

-Nain is coming with us.

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-Alright?

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-Alright?

-

-Yes.

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-Do you have clips in your hair?

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-Can we take them out?

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-No way!

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-Can't we take the clips out, Nain?

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-Can't we take the clips out, Nain?

-

-No!

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-A smiling Nicola is off to theatre.

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-But no-one is allowed

-to touch her hair.

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-.

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-Subtitles

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-Subtitles

-

-Subtitles

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-Nicola is in the Land Of Nod.

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-Her teeth were X-rayed.

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-In half an hour...

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-..three troublesome teeth

-will be out.

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-That was a very difficult

-extraction, by the way.

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-It's Guto Roberts' turn next.

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-He's still thinking about the treats

-he'll get after his operation.

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-Soup, milkshakes, hot chocolate...

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-..sweets, ice cream, fizzy drinks...

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-..burgers, pizzas, chips, fish...

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-..anything I can have!

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-Chocolates, potatoes, carrots...

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-..bananas, oranges.

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-Dr Mair is a consultant

-paediatrician at Ysbyty Gwynedd.

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-She isn't supposed to be here.

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-The registrar who was on call

-is ill.

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-The others have already

-worked over their hours.

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-I had to come in.

-I'm the registrar tonight.

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-It won't do me any harm.

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-I get called in, as a consultant.

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-It's the same, really.

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-Perhaps I'm more aware

-of what's happening on the ward...

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-..rather than just know about

-the children who are most ill.

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-It's not that different.

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-It's good to practise

-keeping an eye on the ward.

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-If a child needs a new drip...

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-..I'd be the third person

-they'd call.

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-Tonight, I'm the second.

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-It's good to get some practice,

-so I don't lose my skills.

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-It's not very different.

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-Since I've been here...

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-..a child has come out in a rash

-after catching a cold.

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-It's some sort of virus.

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-A girl is having difficulty walking.

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-It might be psychological.

-She's under tremendous pressure.

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-There are big things

-going on in her life.

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-Pressure and stresses

-have to come out.

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-Some of us get tearful.

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-It can be more physical,

-and they can't walk.

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-There are various ailments to treat.

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-That's what we like in paediatrics.

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-Dr Mair's third patient

-is Jake Jones from Mochdre.

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-He has an earache.

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-Where next?

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-Bay one, bed three.

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-Bay one, bed three.

-

-Thank you.

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-Hiya. Is this Jake?

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-I'm Dr Parry,

-one of the consultants here.

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-This afternoon...

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-..he threw up his

-dinner, drinks, milk, juice.

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-Everything has come up.

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-He has a temperature as well.

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-He's been sleepy.

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-Otherwise fit and well?

-Was he born in Bangor?

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-On time?

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-On time?

-

-A month and a half early.

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-Was he in special care?

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-I'll have a peep in his ears.

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-It's one of two things.

-One of his ears is very red.

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-He has an ear infection,

-which can make children throw up.

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-Maybe that's what it is.

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-It might be a double whammy,

-and there's something else, too.

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-If a child has an infection...

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-..it can affect how

-the body fights another infection.

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-A child can go

-from one cold to the next.

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-Perhaps he had an earache...

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-..and also a vomiting bug.

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-Having said that, he can pee.

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-Children become dehydrated if

-they're throwing up and can't drink.

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-It's more likely

-the younger they are.

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-He has peed.

-I can tell from his mouth and eyes.

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-He isn't too dehydrated.

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-I don't think the vomiting

-is making him ill.

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-He's so small...

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-..a baby his age wouldn't

-feed for another twelve hours.

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-If he doesn't drink

-for twelve hours...

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-..on top of the throwing up

-and not drinking...

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-..he'd be dehydrated

-by tomorrow morning.

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-He can stay in tonight.

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-We'll try to give him fluid.

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-If he throws up again,

-we'll give him less.

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-We'll give him medicine

-to stop the vomiting.

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-We can get more fluid into them.

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-This is the renowned dancer,

-Efa Hughes, from Pwllheli.

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-She was dancing with Nain

-in front of the telly.

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-She slipped...

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-..and cut her ear open

-on the corner of the coffee table.

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-When I came home...

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-..you were in the kitchen,

-holding a bloody towel, weren't you?

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-We came to A&E.

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-It's quite a bad cut.

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-They can see some of the cartilage.

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-They'll decide whether to glue it

-or if she needs stitches.

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-We were here until ten last night.

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-She had a late night, and we had

-to get up early to be here by eight.

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-Who is having the meal

-that Nurse Rachel is carrying?

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-They took out four teeth, and

-pulled out a fifth. It was huge.

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-That's the huge tooth.

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-Wow.

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-I'm sure

-he's looking forward to food.

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-Chicken nuggets here.

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-I made it myself.

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-Nigella in the making.

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-Nigella in the making.

-

-Mmm?

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-You're too young

-to know who Nigella is!

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-What is it?

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-What is it?

-

-Ice cream.

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-You've been looking forward to this.

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-You've been looking forward to this.

-

-Yes.

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-Vinegar.

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-I'm not sure if I want to eat it.

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-Don't force it.

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-Is it hot?

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-Efa is eating, too.

-The ear has been fixed.

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-I didn't expect to see you here.

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-I didn't expect to see you here.

-

-I thought we'd be much longer.

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-They cleaned it up,

-and put Steri-Strips on it.

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-It had closed enough with

-the Steri-Strips last night.

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-We're coming

-for a check-up on Friday...

0:19:410:19:44

-..and on Monday

-to remove the Steri-Strips.

0:19:440:19:48

-Then everything will be fine.

0:19:480:19:51

-We'll carry on with the antibiotics,

-in case it gets infected.

0:19:510:19:55

-Touch wood,

-everything will be alright!

0:19:560:20:01

-Dr Mair's last patient is

-Mabon Williams from Llanfairpwll.

0:20:040:20:08

-He has a problem, down below,

-so to speak.

0:20:080:20:12

-Hello, baby!

0:20:140:20:16

-Usually, it's one big bulge.

0:20:200:20:24

-It's quite lumpy.

0:20:260:20:28

-It's the loops of the bowel.

-I know it sounds horrible.

0:20:290:20:33

-Sometimes, it ripples,

-as if the bowel is moving.

0:20:330:20:39

-When he was inside you...

0:20:410:20:46

-..the testes were high in his belly.

0:20:470:20:49

-Sometimes, the tract doesn't close.

0:20:500:20:53

-A hernia slides down the tract.

0:20:530:20:56

-We can squash it back.

0:20:560:20:59

-I know, love. My hands are like ice.

0:20:590:21:02

-I can push it back in.

0:21:030:21:06

-It's horrible to think about it,

-but it's a good sign.

0:21:070:21:12

-An operation would sort it out.

0:21:140:21:17

-The testes are here

-when the baby is in the womb.

0:21:200:21:24

-As the baby forms, the testes drop.

0:21:240:21:27

-There's a little tract

-that usually closes.

0:21:280:21:31

-In some babies, we don't know why,

-the tract doesn't close.

0:21:320:21:36

-Part of the bowel slides down.

-That's what I could squash back in.

0:21:360:21:41

-It shouldn't be too much trouble.

-It looks unpleasant.

0:21:420:21:47

-But it can twist and get stuck.

0:21:480:21:51

-That's why I'm being cautious.

0:21:520:21:54

-He has been throwing up.

-That's a sign that it's stuck.

0:21:540:21:58

-It's important to check

-that it goes back.

0:21:580:22:02

-It became smaller

-as I pushed it back in.

0:22:020:22:05

-I could feel it go.

0:22:050:22:10

-It's like feeding a worm

-through a hole.

0:22:110:22:14

-Goodnight, Dewi children's ward...

0:22:140:22:17

-..where big and small children

-arrive poorly, and leave healthy.

0:22:170:22:22

-We're going home.

0:22:220:22:24

-Yes. It's cold.

0:22:240:22:27

-Are you cold?

0:22:270:22:29

-Gale force winds.

0:22:300:22:31

-Gale force winds.

-

-It is outside.

0:22:310:22:33

-Ready to go?

0:22:350:22:35

-Ready to go?

-

-It's nice to go home.

0:22:350:22:37

-Yes.

0:22:370:22:39

-Nicola is well enough to tuck in

-to sausage, beans and chips.

0:22:480:22:53

-Alfie didn't have Muscular

-Dystrophy. He'll have more tests.

0:22:530:22:57

-The hernia was repaired

-in Alder Hey.

0:22:570:23:01

-Owain is fully recovered

-and is back playing football.

0:23:020:23:06

-Guto is fine,

-and his appetite has returned.

0:23:060:23:11

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