Episode 1 Vets 24/7


Episode 1

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This time on Vets 24/7,

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Kevin has an emergency call-out to a horse in trouble.

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You can see by how much he's sweated.

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His heart rate is really high.

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Chelsea the cat is being cared for

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after a suspected road traffic accident.

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If he's continuing to leak urine, it can be fatal.

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And Geraint treats a dog with a mystery cough.

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-He's retching like, this.

-SHE IMITATES RETCHING

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-It's a good impression!

-LAUGHTER

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From Swansea to Neath, and the pets that they treat,

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on duty night and day,

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with the veterinary surgeons of

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one of the largest practices in South Wales,

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this is Vets 24/7.

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The St James Veterinary Practice has been caring for all creatures,

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great and small, for over 100 years.

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At the practice hospital in Swansea,

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the doors are opening for another busy morning clinic

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for partner Gareth Field.

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-BUZZING OF VACUUM CLEANER

-It's all glamorous this job(!)

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Not very good at it, am I? That'll be OK.

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She don't know what's in store,

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do you?

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Hi. Here for Maddy?

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-Being dragged in.

-Maddy the Rottweiler is in with owners

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Chris and Becky for an operation on her knee later today.

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Come in.

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-How you doing?

-All right. I have to sit down, my back's...

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Don't worry, don't worry.

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-The wrong dog for a bad back, isn't it?

-Yeah, she's...

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Good girl. We've taken X-rays of her, and she has ruptured her

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cruciate ligament in her knee, so, unfortunately...

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this is sort of like a knee here, and the cruciate ligaments are

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sort of inside the knee joint and

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usually they hold them nice and solid, but because hers is broken,

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when she's walking, it's basically grating on the knee.

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So that's going to be painful for her.

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So, the plan today

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is basically operation, we're going to go and open the knee joint,

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clean out any damaged part inside

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-the joint and then we're going to sort of cut the bone.

-Yes.

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And, in effect, we are sort of breaking her leg and re-setting it.

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-So...

-My best friend.

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-She's got to have it done.

-That's it, isn't it?

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I had a Rottweiler before this one and she had the same operation.

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She was called Molly. This is Maddy. The other one was Molly.

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You've got still a memory of her on you, haven't you?

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Yes, I have. She's on my arm there.

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Bless. Oh, look.

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There she is. I've also got her in the house, in a box,

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because I had her cremated, so...

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Come here, Mads. Do you want to bring her through?

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Maddy's complicated surgery doesn't come cheap.

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It will cost over £2,000

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and it's not been easy for her owners to find the money.

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-Can I give you £1,000, please?

-Yes, of course.

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-I'm hoping it'll go through on the card.

-OK.

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-If it doesn't, I can only give you £500.

-HE LAUGHS

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-You managed to get the money together?

-Yes.

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Yeah. The wife's still got her car.

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Emptied everything.

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Even Becky's piggy bank.

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-Nothing in there.

-LAUGHTER

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Oh, it went through!

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Being so close to the rural Gower Peninsula,

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much of the practice work involves the care of livestock.

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Today, large animal vet Kevin Jones is on his rounds.

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It's nice to be out on a day like this though, isn't it,

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when you've got views like that?

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For Kevin, the changing face of farming in Wales means he's seen

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a move away from traditional agriculture.

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We're going to see some reindeer now, so a reindeer herd in Gower.

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They've got the reindeer herd because they do a lot of stuff

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around Christmas time. They grow Christmas trees and things.

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So it's a huge attraction to everyone about that time of year.

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This Welsh winter wonderland is home to 24 reindeer.

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But farmer Rob Morgan is worried about one of the herd.

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She's quite quiet, isn't she?

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Pudding has been struggling with an eye infection.

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-How old is she?

-I think she's about ten now.

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She's had quite a lot of calves.

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OK. OK.

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How's it looking?

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There is an improvement since last week.

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-Is there?

-But it's still... it's still quite cloudy.

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-We've still got oedema there.

-Yeah.

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Yeah, I think as well as the cream in the eye, I think we'll go for

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the injection as well today, just because it's been

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rumbling on a little bit.

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It's going to make her eye quite white after this.

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She takes some hanging on to there?

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Yeah, but you can see why the Scandinavian reindeer farmers

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are losing eyes and stuff like that. It's just through this...

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It's quite a specialist job to do. You get the hang of it in the end.

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Do you want to go to the wall, or are you OK there with that?

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I'll be fine. All right? OK?

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Lovely. Yeah, she can go.

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LAUGHTER

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We've had to put some cream in there.

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Yeah, and that's the antibiotic cream in the eye?

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Yeah. It's just about getting it in and getting it all

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-over the eye, which is why I'd rather...

-I can see it, yeah.

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..why I'd rather get a bit more than...

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so she's got the coverage.

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I'll put these out with the rest of the boys.

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Not all visits to the vet are planned.

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-DOG WHINES

-You can get yourself comfy now.

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-CAT YOWLS

-I know, I know.

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Back at the practice hospital,

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vet Sarah Martin is dealing with an emergency admission.

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Chelsea came in on Thursday night,

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and had been hit by a car

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and does have some fractures in her pelvis,

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but she also has some issues with

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suspected damage to the tube in between her kidney and bladder,

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so she's had some X-rays and things yesterday and some investigations.

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They found there was some evidence of suspected urine in the abdomen.

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His main problem now, though, is the urinary side of things, cos...

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DOG BARKS

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If he's continuing to leak urine, it can be fatal.

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Worried owners, Sarah and son Dafydd,

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have been called in to discuss their pet's diagnosis.

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You know the accident, do you think it is a car,

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or do you think somebody has gone and sort of kicked him?

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I think it's probably been a car, to be honest.

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That's usually the most common thing.

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Usually, to fracture his pelvis and things the way he has done,

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that is enough trauma to kind of damage the kidneys as well.

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Hopefully rest is going to be the thing to do.

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When his back's better, will he be able to be playful again?

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He should be, yeah. So, cats are really good at getting better.

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They're really good at healing back together.

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So we'll need to take things day by day at the moment.

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Goodnight, Chelsea. See you tomorrow.

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-You missing him, yeah?

-Yeah.

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-All right.

-Thanks.

-No problem at all.

-Thank you.

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-Thank you for looking after my kitten.

-Aww. Bye.

-Bye.

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Good girl.

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Yes, you're a good girl, aren't you? Hmm? OK.

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Down the corridor, Maddy is being prepped for theatre.

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She's a nice dog, isn't she?

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You going to go to sleep for us?

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Don't worry.

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Good girl, good girl. There we go.

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-MADDY SNORES

-Definitely asleep. Snoring.

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As a surgeon, Gareth performs around 20 of these ruptured cruciate

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ligament repairs a year.

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It is quite a difficult procedure.

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As I say, not every vet practice by a long means would do this.

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You can't ever relax, that's the problem.

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Sort of, three hours will be high stress and concentration, really.

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Because of the demands of this procedure,

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Gareth has drafted in fellow partner David Steel.

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This is inside the knee joint here.

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This is the ruptured cruciate ligament.

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You can see it's all frayed.

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That's why the knee is so unstable,

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so we'll now remove that sort of damaged piece of ligament.

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That's good.

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This is a heavy-duty operation.

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-Heavy on the power tools.

-DRILL BUZZES

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Yeah. That looks good there.

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-Happy?

-Yeah.

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The jig now acts as an external sort of frame, holding the bone in

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alignment, so we've got a pin in this section, a pin in this section.

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So, in theory, once you make a cut here,

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the two shouldn't move apart or move away from each other.

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So now we have to cut the bone,

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so this is potentially the scary bit.

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What I want to do is make sure we break it correctly and put it back

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together correctly.

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-Happy?

-OK.

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There.

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Yeah, it's quite a brutal operation, unfortunately,

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that has to be done.

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So far she's doing well.

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I say the dog's doing well, I should say we're doing OK.

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HE LAUGHS

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This is the plate that we're going to leave in place now to hold

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the fracture in position whilst it heals.

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You think it looks all right, don't you?

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-Looks right, yeah.

-Yeah.

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Yeah, that looks good.

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With the surgical steel plate secured,

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Maddy can now be stitched up and taken to recovery.

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The practice has six clinics with 25 vets caring for domestic pets

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all across South Wales.

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Here at the Neath branch, there's a busy waiting room

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for partner Geraint Jones.

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Morning. My name's Geraint.

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How you doing? Pleased to meet you. All right.

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In need of his help today is Jazzi the Saluki, and his owner Nicola.

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What can I do for Jazzi?

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Right. About two or three times a week,

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he's getting a really nasty cough.

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-OK.

-Now then, I've got it on video,

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-if you want to have a quick look at it.

-Yes, OK, fine. Yep.

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It's like a coughing fit.

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With a bit of retching at the end.

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-OK.

-And I'm a little bit concerned,

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and he's getting panic attacks with it.

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He's breathing quite heavily there through his nose, isn't he?

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So does it get any worse than that at all, or...?

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Yeah, it gets worse than that.

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At the end, normally he's retching like this...

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SHE IMITATES RETCHING

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-LAUGHTER

-That's a good impression.

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-OK.

-His sort of breathing and heart does seem to be very irregular.

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So you can't see him breathe or...?

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-I can't see him breathe.

-Can't feel a heartbeat?

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I can't see a heartbeat. Nothing.

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-Gosh!

-And I'm panicking in the middle of the night

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then thinking, "Oh!" Light on and...

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-Yeah. I'll have a look at him now and I'll check him over, OK?

-OK.

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-JAZZI FLINCHES

-Whoops!

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So he's got a bit of sensitivity there in his throat.

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So when I'm squeezing his throat he's kind of coughing a little bit.

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So there must be a little bit of inflammation going on.

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That suggests to me that it's probably more likely to be

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a lung problem rather than a heart problem.

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-Right.

-OK? Probably the best thing to do is take an X-ray

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of his chest and probably get more

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-information in terms of knowing what to treat him with.

-OK.

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-Right.

-All right? Thanks, guys. See you next week.

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-OK. Bye-bye.

-Go on, you.

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I'm worried, yeah.

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I wanted to catch the worst attack that he had.

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So I've got the camera around by the side of me,

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in bed, in the living room.

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Let's hope they do find something

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and soon enough to do something about it.

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As clinics finish for the day, at the main practice hospital,

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treatment continues for the inpatients 24/7.

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Well done. Aren't you brave?

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Chelsea the cat is about to have an abdominal scan.

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DOG BARKS

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Vet Sarah is keen to see how damaged the cat's kidneys are,

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following his road traffic accident a few days ago.

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So what we're looking at with Chelsea now is, when they scanned

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him yesterday, they found there was some free fluid in his abdomen that

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shouldn't be there, and there are concerns that from the way his

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bloods were, that he ruptured his ureter.

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So we're going to have a little look

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now and see whether there is any more free fluid.

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If it was to be building up,

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then that would be a bit of a worry.

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So this is the area that we were a bit concerned about.

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This is the area sort of up around his kidneys.

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On that sort of left kidney,

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it does look slightly abnormal and it's a little bit of a different

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shape than the other side, but there

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doesn't look to be any more free fluid around it, so far.

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So that's good news for Chelsea that things certainly aren't looking any

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worse there, so the fluid looks like it's actually resolved.

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There's only a very small bit that I could find, there.

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So, fingers crossed, hopefully he's heading in the right direction.

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Also staying in overnight is Maddy the Rottweiler.

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She's recovering from her knee operation

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and before he clocks off duty, Gareth checks her latest X-rays.

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This is the leg after the operation.

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We've cut the bone, here,

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and we've rotated it round so you can see this is a step here

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and a step here and what that has done, is it has flattened

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the knee joint quite a lot.

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The angle is much less steep than it was initially, and you've got this

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plate, here, which is sort of stabilising the knee.

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She'll make, hopefully, a 90% recovery,

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be an active dog again with no pain.

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It's good.

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Being a vet is not a nine-to-five job.

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Every night, the practice has three vets on call for emergencies.

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Tonight, Beauty, an elderly horse, is in trouble, and worried owner

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Maureen has called large animal vet Kevin for assistance.

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Oh, buddy.

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I'm going to just have a listen to his heart first thing

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and see how he's doing there.

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All right, all right.

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Just going to take a listen to your heart. Good boy.

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The thing that concerns me a little bit is you can see by how much he

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sweated, what's been going on and it hasn't been raining all day today.

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-No.

-So this is all sweat.

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His heart rate is really high, OK?

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-At the moment, his is 80...

-Oh!

-..so it's really high.

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It is showing that he is in a little bit of discomfort

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at the moment and pain. Now, there's lots of things that can cause colic,

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-as I'm sure you're aware.

-Yeah.

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The things that we really worry about that would require surgery is

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if there's any sort of twists in the gut, anything to stop it moving.

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I would rather have him put down than have surgery.

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Yeah. Absolutely. OK.

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It would be sensible.

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Yeah, absolutely, and I think a lot of people would make the same

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decision, as well. I'm going to give him a strong painkiller.

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If he doesn't respond to that painkiller, then, you know,

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-it might be kinder to put him to sleep.

-Oh, I know, yeah.

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If you don't want me to do further investigations now,

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-if you don't want me to...

-Shall we leave it till the morning?

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We can't leave it till the morning,

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-no, we can't leave it till the morning.

-Just have a painkiller.

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-So how long have you had him?

-Since he was born.

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-Since he was born?

-And his mother since he was born.

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Oh, gosh. It's a fair old time, isn't it?

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-23 he was in April.

-23 years. OK.

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Good boy, there we go.

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Good boy.

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It's how he develops and how he responds to this that we have to

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-make our decision.

-Yeah.

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OK. Now, with his age and everything else,

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if he doesn't respond to this, I think, you know...

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All right, OK.

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It's morning clinic at the hospital in Swansea.

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Nicola and her coughing dog, Jazzi,

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have been referred here for exploratory tests.

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He's basically my substitute child, so that's how much he means to me.

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Hopefully if he's going to have some treatment,

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then let's get it done and dusted.

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How's he doing, Sarah?

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Partner Geraint Jones

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will be using a bronchoscope camera to see deep inside Jazzi's airways.

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MACHINE BEEPS

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So we're just inside Jazzi's lungs now.

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You can see it's slightly inflamed,

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but there's no mucus or anything in the actual airway itself.

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So that's good.

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So this is the little sort of catheter that is going down into

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the scope and that's going to allow

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us to take a sample from one of the lungs.

0:18:090:18:11

That's the sample, there, that we've taken from his lungs.

0:18:170:18:20

So it looks like there's some cells

0:18:200:18:21

in there because it's a different colour.

0:18:210:18:23

So what we'll do is we'll send this to the lab now,

0:18:230:18:25

and if there is a specific bacteria in there,

0:18:250:18:27

we'll treat the bacterial infection as well.

0:18:270:18:30

It's a waiting game for Jazzi

0:18:310:18:34

and for Chelsea the cat.

0:18:340:18:36

Could we just try standing him on the floor very gently? Just...

0:18:360:18:39

We don't want him to run anywhere.

0:18:390:18:41

Good lad.

0:18:420:18:43

His kidney function is improving, but his mobility is

0:18:430:18:46

limited and Gareth is continuing to monitor his progress.

0:18:460:18:50

Are you doing anything or not? You don't want to do anything.

0:18:500:18:52

No?

0:18:520:18:54

Come on.

0:18:550:18:57

We'd like him to be able to stand and just see if he can walk at all

0:18:570:19:02

but I think he's a bit worried at the moment.

0:19:020:19:05

He's just sort of sat there and not doing a great deal.

0:19:050:19:07

No, I don't think he's going to, is he?

0:19:070:19:10

Good lad.

0:19:100:19:11

Oh, you having a wee on us?

0:19:140:19:16

So he can move both his legs when you...

0:19:200:19:22

All right, all right! ..bring him to a table.

0:19:220:19:24

He's using them there to try and stand, so that's good.

0:19:240:19:28

I think he's still a bit painful and just doesn't want to do a great deal

0:19:290:19:33

at the moment. So what I'll do, I'll speak to Sarah and just decide

0:19:330:19:36

if we keep him in for a bit longer for pain relief or when he's

0:19:360:19:39

probably not quite ready to go home just yet.

0:19:390:19:41

Fine.

0:19:410:19:43

Pets become part of the family.

0:19:460:19:49

And that is something that large animal vet Kevin understands,

0:19:510:19:55

having two four-legged friends of his own.

0:19:550:19:58

They're very quiet today. Aren't you?

0:19:580:20:01

He likes to watch where we're going.

0:20:010:20:03

Toby actually came into a vets that I used to work at and

0:20:030:20:07

I ended up taking him on from that point, really.

0:20:070:20:10

But he loves his life, don't you, buddy?

0:20:100:20:13

Eh? Yes, it's so nice to have them around. You know, they're a big part

0:20:140:20:17

of my life and it's just so nice I can bring them to work with me.

0:20:170:20:21

The first stop on Kevin's rounds today is to check on Beauty,

0:20:210:20:24

the elderly horse with chronic colic.

0:20:240:20:27

If things haven't improved overnight, owner Maureen

0:20:280:20:31

faces a difficult decision.

0:20:310:20:34

-He's looking depressed, isn't he?

-Yeah, he is.

0:20:340:20:36

Hiya, boy. OK.

0:20:380:20:41

Yeah, he's uncomfortable. The heart rate is back to where we were,

0:20:440:20:47

so he's back to square one. OK, so we've got...

0:20:470:20:49

You know, we could try again with the painkillers but I don't think...

0:20:510:20:54

We might be in a similar position in a couple of hours' time and I think,

0:20:540:20:57

given his age and everything else, I think, I think...

0:20:570:21:00

-Time to say goodbye.

-OK. OK, all right.

0:21:000:21:03

There's no rush, now, right? OK?

0:21:060:21:09

So when you're ready, OK?

0:21:100:21:12

Goodbye, baby.

0:21:120:21:15

OK?

0:21:150:21:17

Right.

0:21:170:21:19

There you go. You're all right.

0:21:360:21:39

Yeah, he has gone.

0:21:420:21:44

I'll give you a couple of minutes with him. All right?

0:21:470:21:52

I'll just get my box.

0:21:520:21:54

-You did the right thing, though.

-Yeah.

-Are you OK?

0:21:570:22:00

It doesn't ever get any easier.

0:22:000:22:03

I think, you know, if it did start getting easy, I think,

0:22:030:22:06

you know, I maybe wouldn't be the right person for the job.

0:22:060:22:09

It's really sad.

0:22:090:22:11

Yeah.

0:22:130:22:15

Witnessing the circle of life is a daily occurrence for a vet.

0:22:180:22:22

And at the practice hospital,

0:22:230:22:25

a special delivery is on the way with partner Geraint.

0:22:250:22:28

OK, right, then.

0:22:290:22:32

So we've got Fran who is a French Bulldog who's having a Caesarean.

0:22:320:22:37

80% of French Bulldogs have to undergo a Caesarean section.

0:22:390:22:42

These are all the puppies within the uterus.

0:22:440:22:46

The shape of the breed makes it difficult to deliver a litter naturally.

0:22:460:22:49

-Ready for these?

-Yeah!

0:22:510:22:53

-How many are we on, now?

-Seven.

0:23:090:23:11

Seven, is it?

0:23:110:23:16

Are you coming to help, Sarah?

0:23:160:23:17

-It's all hands on deck.

-How many is it?

0:23:180:23:21

-We're up to nine.

-Nine?

0:23:220:23:24

Wow! That's a big litter.

0:23:240:23:26

-Ready?

-Thank you.

0:23:270:23:29

Certainly enough variety of colours amongst them, isn't there?

0:23:300:23:34

Got one of every kind.

0:23:340:23:35

Is there any more in there?

0:23:370:23:39

I don't think so. I think that's it now.

0:23:390:23:42

This one is number ten.

0:23:420:23:43

-Do you want another one?

-No, we're good.

-Very good.

0:23:430:23:46

It's all about the teamwork.

0:23:480:23:50

All hands on deck. It's just another day at the office.

0:23:510:23:55

Geraint has successfully helped mum Fran deliver ten healthy puppies.

0:23:570:24:00

This one is the last one out

0:24:040:24:06

so he's a little bit slower but

0:24:060:24:09

they all seem OK, otherwise.

0:24:090:24:11

Hopefully, these new-borns will find loving homes.

0:24:150:24:17

Just like Jazzi the Saluki has with her owner Nicola, in Neath.

0:24:200:24:23

The test results are back

0:24:260:24:28

and it turns out that her pet has bronchitis.

0:24:280:24:31

Come on then, Jazz. Tablet time.

0:24:310:24:34

Here you go. Come on.

0:24:340:24:36

Open your mouth.

0:24:370:24:38

Come on.

0:24:400:24:41

Swallow, come on.

0:24:410:24:43

Come on.

0:24:460:24:47

This will help with his general breathing problems.

0:24:490:24:52

Come on.

0:24:540:24:55

Swallow. We just...

0:24:550:24:57

There we are. One more, Jazz, and that's it, done.

0:24:570:25:00

You can have a little treat, then.

0:25:000:25:03

Two, three...

0:25:030:25:04

It's been a big worry, to be honest.

0:25:060:25:08

As you can see he's panting away, here.

0:25:080:25:11

His breathing has been irregular.

0:25:110:25:13

It looks as if he's going to be on medication for the rest of his life.

0:25:130:25:18

Money is a struggle and I've got to think now about where I can cut back

0:25:200:25:26

so that I can make sure I look after him.

0:25:260:25:30

It's going to be tough but,

0:25:300:25:32

well, life is tough, isn't it, at the end of the day?

0:25:320:25:36

The thing is, whilst I've got a lot of good friends,

0:25:360:25:40

it's when you are stuck in the house all day without the dog for company,

0:25:400:25:46

it would be absolutely awful because he is the most important thing in my

0:25:460:25:54

life and...

0:25:540:25:55

..I honestly don't know what would happen if I lost him.

0:25:560:26:00

Another pet who is waiting to be reunited with his family is Chelsea.

0:26:120:26:15

But before he can be discharged,

0:26:180:26:20

Gareth needs to check his latest X-ray results.

0:26:200:26:24

He's got some injuries. It's just working out

0:26:240:26:26

if they are bad enough for a need for surgery to repair.

0:26:260:26:30

This is his pelvis, here,

0:26:300:26:31

and it looks like he's dislocated the sacroiliac joint.

0:26:310:26:34

So basically where his pelvis attaches to the spine.

0:26:340:26:38

This bone here should be attached further back

0:26:380:26:41

and similarly on this side.

0:26:410:26:43

He's done well enough that we won't need to do surgery in this case.

0:26:430:26:46

It's good news for the little boy. He'll have Chelsea home.

0:26:460:26:48

What Chelsea needs now is tender loving care

0:26:500:26:53

and to continue his recovery at home with Dafydd and his mum.

0:26:530:26:57

Hello.

0:26:570:26:59

-There you go.

-Hello.

0:26:590:27:00

You are coming back home.

0:27:050:27:07

Are you happy now? I've missed you.

0:27:070:27:10

I think he's missed you as well.

0:27:120:27:15

Also ready for discharge is Maddy

0:27:170:27:19

who is back on her feet following her knee operation.

0:27:190:27:22

Hello, Maddy, hello.

0:27:240:27:26

Hello, how are you doing?

0:27:260:27:28

Yes. Good girl.

0:27:280:27:30

Seems comfortable?

0:27:300:27:31

-Yes.

-How are you doing?

0:27:310:27:34

How are you doing? All right, all right, don't panic.

0:27:340:27:38

Just gently bend her leg.

0:27:390:27:40

Good girl. That is looking good.

0:27:400:27:44

The wound looks good. She's letting me move it a little bit,

0:27:440:27:46

which is nice and overall she's doing quite well.

0:27:460:27:49

She's relatively happy.

0:27:490:27:51

There we are.

0:27:510:27:52

Right.

0:27:520:27:54

It's good news for Maddy

0:27:540:27:56

but her operation has come at a cost for owner Chris.

0:27:560:27:59

We've emptied the piggy banks and

0:27:590:28:03

could have put a new roof on the house for what it's costing,

0:28:030:28:08

which the wife keeps reminding me, but she's worth it.

0:28:080:28:12

She's worth every penny.

0:28:120:28:15

My dog, my baby, see?

0:28:150:28:17

My best friend.

0:28:170:28:18

Hello.

0:28:180:28:20

Hi. Hello.

0:28:200:28:22

Hello.

0:28:220:28:24

It's quite amazing to see what people will do

0:28:280:28:30

because they love their pets so much and they'll go without themselves

0:28:300:28:34

to provide the care they want to give to their pets.

0:28:340:28:37

-Lovely stuff.

-Oh, great, thank you so much.

0:28:370:28:39

-That's all right.

-Bye.

0:28:390:28:41

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