Bywyd Newydd: Rhoi Organau


Bywyd Newydd: Rhoi Organau

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Transcript


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-Subtitles

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-Subtitles

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-Subtitles

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-Every year in Britain, thousands

-of people wait for new organs.

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-It can be a long wait.

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-Time is short

-for those on the list...

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-..hoping a suitable organ

-will become available.

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-For families and loved ones,

-hope is all they have to hold on to.

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-This year in Wales, there has been

-a change in the organ donation law.

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-Since December 1, if you haven't

-opted out of the new system...

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-..you give presumed consent...

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-..and your organs

-can be donated after you die.

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-It will give those on the waiting

-list a second chance for life.

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-PUB MUSIC

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-Ian!

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-There's an open mic Thursday night

-at the Palace Vaults, Caernarfon.

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-If anyone has an instrument,

-a song, a poem, whatever...

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-..they come up and do their stuff

-in front of an audience.

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-Let's go!

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-Do you want to present it

-or go straight in? Talk later!

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-I watch mostly.

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-But from time to time, I like to

-bring out the guitar. I live nearby.

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-It depends who is here.

-I'll ask if I can join in.

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-Four years ago, Ian Huw from

-Caernarfon received a new heart.

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-# We're still here

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-# Hale and hearty #

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-For years, I couldn't do anything.

-I couldn't go to play.

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-I was stuck at home.

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-The guitar has been a blessing.

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-But, I must admit,

-my hands shook and I was very weak.

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-I couldn't play or do a lot.

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-I've built up slowly, over time.

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-I've begun to play more

-in public for about a year.

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-I've grown in confidence.

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-# We're still here

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-# We're still here

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-# Hale and hearty #

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-APPLAUSE

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-Thanks!

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-You haven't come here recently,

-with the bad weather.

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-No.

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-Ian hadn't felt 100% for some time.

-He wasn't sure why.

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-But it was obvious to his daughter,

-Leah, that something was wrong.

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-He couldn't do much

-without feeling breathless.

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-He was weak. He couldn't walk.

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-After ten steps, he had

-to stop to catch his breath.

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-He used to like to leapfrog...

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-..over posts in the street

-in Caernarfon.

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-A few years ago, he tried doing it

-but failed, and he was breathless.

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-That's when he began

-to notice things weren't right.

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-I have two rows of potatoes.

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-Nothing is growing in the third row.

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-I have two rows of leeks.

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-Ian went to the doctor and had

-an echo scan and further tests.

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-I remember going

-for the echo scan with a young chap.

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-I asked him for the result.

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-He turned white and sat down.

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-He said, "I'm not qualified

-to tell you this.

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-"But I'm shocked."

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-I wondered what he'd seen.

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-He was a technician, not a doctor.

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-I didn't think anything of it.

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-Then I heard

-that I had this problem.

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-Ian's health had

-deteriorated so much...

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-..that a heart transplant

-was the only solution.

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-I was under the care

-of a consultant in Ysbyty Gwynedd.

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-He said, "I think you're ready

-to be assessed for a transplant."

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-I thought, "This is quite serious."

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-You hear about these things.

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-I didn't know anyone

-who'd had anything like that.

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-He was very cool.

-He was quite accepting.

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-If no heart came, he thought he'd

-had a good life. He wasn't stressed.

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-He just carried on, saying,

-whatever happened, he was content.

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-I think I had the same attitude too.

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-I was on the list

-for about six months.

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-Then, of course, there were

-problems with the kidneys.

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-They decided that

-the kidneys were so bad...

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-..there was no hope

-for a transplant.

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-So I came off the list.

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-Seven thousand people wait

-for organs every year in Britain.

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-They're all on a waiting list.

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-When a new organ

-becomes available...

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-..people on the list are assessed.

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-The most suitable recipient

-is given priority.

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-Patients want to go on the list.

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-We explain that they have to be

-fit enough for surgery first.

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-They go through the process.

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-We refer them to surgeons to make

-sure they're happy with them.

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-We don't want anything to happen to

-patients. We must keep a balance.

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-Sometimes we have to take people

-off the list, or suspend them.

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-They're on the list,

-but suspended for a while.

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-Something has happened, they might

-not be fit enough at that time.

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-We sometimes have to tell people

-they wouldn't benefit from it.

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-Their health might

-have deteriorated.

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-They might be worse

-after a transplant.

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-We sometimes take people

-off the list too.

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-Sharon Wynne from Llangefni has been

-on the waiting list for 14 months.

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-She needs a new kidney.

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-I found out a year last March

-when I went to the doctor.

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-They took my blood pressure...

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-..and found out I had

-14% kidney function...

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-..chronic kidney disease stage five.

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-I had to have

-a transplant or dialysis.

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-I had a virus

-that attacked my kidneys.

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-It stopped them working properly

-and removed too much protein.

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-It puts strain on the kidney.

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-Anyone can get it.

-It's called the silent killer.

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-There aren't many symptoms,

-just feeling tired.

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-I was working hard,

-so I put it down to that.

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-I was really shocked.

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-I still don't believe

-it's happening to me.

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-Sharon works in a gym in Bodffordd,

-offering therapeutic massage.

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-Since becoming ill,

-work is a strain.

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-It's hard, physical work,

-but I love it.

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-It's a vocation. I'd do it for free.

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-Before this happened,

-I worked eight to ten hours a day.

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-I might do six to eight massages.

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-Now, I'm lucky if I can do one,

-or two at most.

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-It has a knock-on effect

-on my confidence.

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-I work at Mark's place.

-He's good to me.

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-I do "pay as you go."

-If I'm well, he lets me use a room.

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-Use something else. Go for it.

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-Use something else. Go for it.

-

-Just a bit.

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-If it makes the job easier for you.

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-She used to be lively and full

-of energy, always up for a laugh.

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-It's a pity.

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-There's a big difference

-since she's been on dialysis.

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-When she's had dialysis, sometimes

-she comes in, full of beans.

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-She's had strength somewhere.

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-When she hasn't had it

-or is due to have it, she flags.

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-She has no strength.

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-Before, she used to have the

-attitude, "Come on, bring it on!"

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-Now when she comes to work,

-it's not there. She can't help it.

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-She'll put on an act

-that she's alright.

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-It's a pity, but it's not in her.

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-She tries, but we know her.

-We're good friends.

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-Mark is one in a million. He offered

-to take a test, to donate a kidney.

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-We've been good friends for years.

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-Yes, I put my name down,

-that I'd be happy to be tested.

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-She didn't believe me at first.

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-I said, "I'm not joking.

-I have another. You can have one."

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-I'd have been happy to donate one.

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-She has to go through

-all this waiting.

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-It's a strain on her body.

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-But Sharon is strong.

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-She'll stick in there

-until she's better.

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-She'll keep going.

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-Life on the waiting list means

-that disappointment is common.

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-We've had false alarms. He was

-called, "There's a heart for you."

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-Actually, I had a phone call

-once from Manchester Hospital.

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-"There's a heart.

-We can't reach your father."

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-His phone was off, or had no signal.

-I said, "OK, I'll look for him."

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-I rushed off and took him there.

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-The first time, there was a problem,

-an infection on the heart.

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-The second time, it wasn't

-quite the right tissue type.

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-I had been prepared. I was

-in the ward, my body was shaved.

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-I wasn't disappointed.

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-The main problem was I'd phoned

-so many people from the ambulance.

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-I said, "It's happening today!"

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-I had to phone again on the way home

-to say, "Sorry, it didn't happen."

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-I was called in three times

-in six months.

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-Sharon has two daughters

-and a grandson, Elis.

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-Hearing about her condition

-was a big shock for the family.

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-It was a shock. Mam never cries.

-We never see her upset.

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-It was difficult.

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-It's still difficult now.

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-Sioned and I often have meals

-together. We both enjoy food.

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-She's gotten into gardening now,

-because I like gardening.

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-We go round nurseries.

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-And I see Elis.

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-Wait!

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-LAUGHTER

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-Yeah!

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-It's great, being a grandmother.

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-You have a lot more

-patience when you're older.

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-It's great, a totally

-different kind of love.

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-Waah!

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-She tires more.

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-She catches infections from anyone.

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-But she's tough.

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-She says, "No, I'm fine!"

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-I think she's disappointed

-that she can't do a lot with him.

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-Things like taking him places

-or going for a walk.

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-She's been getting tired.

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-Babysitting is fine,

-but he's in bed.

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-She has missed out a lot.

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-Yes.

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-.

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-Subtitles

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-Subtitles

-

-Subtitles

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-For people like Ian Huw,

-who has had a transplant...

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-..regular hospital visits

-are a part of life.

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-There's a warm feeling when

-I come to hospital. I feel safe.

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-I have consultations

-with different doctors...

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-..seven or eight in Ysbyty Gwynedd.

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-Coming to hospital isn't a pain.

-I'm happy to be here.

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-This is something

-that generally happens.

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-Make yourself comfortable.

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-Whenever I arrive at a hospital,

-although I feel calm...

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-..my blood pressure shoots up,

-for some reason.

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-As a result of the heart failure,

-the kidneys are in a bit of a state.

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-On top of that,

-I have kidney stones too.

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-From time to time,

-I catch an infection.

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-My immune system can't fight it.

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-I have to get rid of them. There

-are two or three ways to do this.

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-Two aren't suitable, so they'll

-probably go for the laser treatment.

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-I've come here today

-to see if I'm strong enough.

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-You're not on Thyroxine?

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-You're not on Thyroxine?

-

-No.

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-It will stop me having infections.

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-My kidneys won't improve

-because of the surgery.

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-But life will be better for me.

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-Keep still, please.

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-My kidneys were hit three times,

-when I got the condition.

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-Other organs tend to go.

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-I take water tablets.

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-That accelerates

-the kidneys' deterioration.

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-After the surgery,

-the kidneys got a knock.

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-They've been injured in three ways

-over time. This won't help.

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-Hopefully, this will get rid of the

-stones and I won't get infections.

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-But there's always a small chance...

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-..that the kidneys deteriorate

-after the surgery.

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-It is a pain.

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-But I'm not overly worried about it.

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-While waiting for a new kidney,

-Sharon needs hospital treatment.

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-Her kidneys aren't

-working at all now.

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-Where are you going tonight?

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-I'm going to Bangor by 5.45pm.

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-I'll have dialysis for four hours.

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-How often do you go?

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-Every Monday, Wednesday

-and Friday evenings.

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-Since when have you been going?

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-Since when have you been going?

-

-Since April. About six months.

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-Why do you go in the evenings?

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-I go between six and ten.

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-After coming home,

-I have a good night's sleep.

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-I used to go in the mornings

-and came back by 1.00pm.

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-All I wanted to do

-was sleep for four hours.

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-I'd wake up at 7.00pm

-and couldn't sleep until 3.00am.

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-Then I was tired the next day.

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-Like this, I have the days.

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-It suits me better.

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-How has it affected your life?

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-It's taken over my life.

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-I can't do anything during the week.

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-I have to go.

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-I go on Friday, then

-I don't have to go until Monday.

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-I have the weekend.

-I try to meet friends on Saturday.

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-How would it work,

-if you wanted to go on holiday?

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-I hope to go next month

-to Lanzarote with my daughter.

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-As long as there's a dialysis

-centre where you're going...

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-..you can go.

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-How do you feel about having it

-in a different country?

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-I was nervous,

-wondering what it would like.

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-But everyone says that dialysis

-units abroad are more advanced.

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-I don't need to worry.

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-You'll be on dialysis

-until you get a transplant.

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-Yes.

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-How do you feel about that?

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-I can't wait to get it done.

-It's dragging a bit now.

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-I want to have it.

-I know I'll feel better.

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-I'll be able to get back to normal,

-go back to work.

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-I'd like it before Christmas,

-so I can start the new year afresh.

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-Of the 30,000 people

-who die in Wales every year...

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-..only about 250 die

-in circumstances...

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-..when their organs can be donated.

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-There are two types, heart-beating

-and non-heart-beating donors.

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-A heart-beating donor is in

-intensive care, on a ventilator.

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-There has been a diagnosis

-of brain stem death.

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-Someone might come in

-to Accident And Emergency...

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-..and we might not be able to give

-the person any more treatment.

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-If they die

-in a certain timeframe...

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-..their organs can be

-considered as potential donors.

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-Of the 250 people

-who could donate...

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-..only about 70 have

-agreed to do so.

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-So organs are very scarce.

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-At least 30 people die every year

-in Wales on the waiting list.

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-One of the lucky ones

-is Jackie Houston-Roberts...

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-..a former nurse from Dinas,

-near Caernarfon.

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-Jackie began dialysis

-in May this year.

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-She was very worried

-she'd face years of dialysis.

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-I had been a nurse,

-so I knew what was ahead.

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-There was no way out of it.

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-It wouldn't get better

-without a transplant, really.

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-I also knew how scarce

-kidneys are for transplants.

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-I thought a transplant

-was out of the question...

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-..unless a family

-member was compatible.

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-My sister offered,

-but she wasn't compatible.

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-That didn't go any further.

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-I just had to wait

-and start dialysis.

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-Obviously, that was upsetting.

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-I felt...

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-..that was it.

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-After starting dialysis,

-there's no way back.

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-It was just a matter

-of accepting what happened.

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-For how long were you on dialysis?

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-I began the end of April,

-on my birthday, for two weeks.

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-I was a bit downhearted.

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-But I felt I was luckier

-than many people.

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-In a month, I got the kidney.

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-A policeman came here at 4.00am.

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-I thought something serious

-had happened to a family member.

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-That's why I went to the window.

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-He told me to phone Liverpool and

-that there was a potential kidney.

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-So I phoned.

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-They said they wanted me in

-Liverpool and they'd send transport.

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-So off I went.

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-What went through your mind

-on the way there?

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-I felt...

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-..quite irrationally...

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-..that other people needed it

-more than me, in a way.

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-I'd only waited six weeks.

0:20:000:20:02

-It was only the next day I started

-to think about what had happened.

0:20:030:20:08

-I was quite emotional.

0:20:090:20:11

-It worked immediately.

0:20:110:20:14

-My blood levels

-came down straightaway.

0:20:150:20:19

-It was like a miracle.

0:20:220:20:24

-Yes.

0:20:240:20:26

-But Sharon from Llangefni

-is still waiting.

0:20:290:20:32

-Most people wait between two

-and three years for a transplant.

0:20:320:20:37

-The hope for that phone call

-is there all the time.

0:20:370:20:41

-I panic if the phone goes off,

-if the battery has gone.

0:20:410:20:45

-You never know when you'll get

-the phone call, day or night.

0:20:460:20:50

-It'll give me a second

-chance for life.

0:20:500:20:53

-Life is on hold

-since a year last March.

0:20:540:20:57

-They take my blood out

-with the blue tube.

0:21:000:21:03

-It goes through

-the machine and the filter.

0:21:030:21:06

-It comes back clean

-through the other tube.

0:21:060:21:09

-What do they filter out?

0:21:100:21:12

-Potassium, phosphate, protein.

0:21:120:21:16

-They poison the body.

0:21:170:21:19

-It has to be clean.

0:21:190:21:21

-A healthy kidney

-would get rid of them.

0:21:210:21:24

-Yes, naturally.

0:21:240:21:25

-When you have dialysis,

-you have no kidney function at all.

0:21:260:21:30

-Basically, this keeps you alive.

0:21:300:21:33

-You don't feel anything.

0:21:330:21:35

-After an hour, I begin to tingle.

0:21:360:21:38

-There's something new,

-alien really, in your body.

0:21:380:21:42

-We're used to dirty blood, in a way.

0:21:420:21:45

-That's all it is.

-It isn't uncomfortable at all.

0:21:450:21:48

-I get cold, so I have a blanket,

-slippers and a pillow.

0:21:490:21:52

-I'll sleep in a bit.

0:21:530:21:54

-I'll sleep in a bit.

-

-Why are you cold?

0:21:540:21:55

-The blood coming

-from the machine is cold.

0:21:560:21:59

-Does it have to be cold?

0:21:590:22:00

-Does it have to be cold?

-

-Yes.

0:22:000:22:01

-I asked, but if they put

-it up, it would clot.

0:22:010:22:05

-You have to take it.

0:22:050:22:07

-You have sweets and crisps.

-You don't usually have them.

0:22:070:22:12

-On dialysis, you can eat whatever

-you like. It doesn't go in the body.

0:22:120:22:17

-The machine cleans it.

0:22:170:22:18

-Everyone eats crisps and sweets

-here. You can eat anything.

0:22:190:22:23

-That's one handy thing about it!

0:22:230:22:24

-That's one handy thing about it!

-

-Yes.

0:22:240:22:25

-I have a vodka bottle in my bag.

0:22:260:22:28

-Not really!

0:22:280:22:29

-Another reality for people

-who have had a transplant...

0:22:330:22:37

-..is taking medication

-to take care of the new organ.

0:22:370:22:42

-I'd say I pop about 15 a day.

0:22:420:22:45

-I take about six in the morning

-and evening, and one mid-afternoon.

0:22:460:22:50

-Keeping to the routine

-is very important.

0:22:510:22:54

-The tablets include steroids.

0:22:550:22:57

-They have the potential

-to make the bones brittle.

0:22:590:23:03

-So I have to take medication...

0:23:030:23:06

-..as a preventative measure

-for osteoporosis.

0:23:060:23:09

-I have to keep clear of some fruit,

-like grapefruit.

0:23:090:23:13

-That works against one

-of the anti-rejections, oddly.

0:23:140:23:18

-Because of the immunosuppressants,

-I mustn't get sunburnt.

0:23:190:23:24

-It would probably become cancerous.

0:23:240:23:27

-As long as I keep on top of things

-and take the medication regularly...

0:23:270:23:32

-..I'll be fine.

0:23:320:23:33

-You have a very positive attitude.

-You're not a natural worrier.

0:23:330:23:38

-Yes, that's certainly true.

0:23:390:23:41

-I don't know if I'm silly...

0:23:420:23:44

-..and burying my head in the sand.

0:23:440:23:46

-I have taken care of myself.

-I haven't been silly.

0:23:470:23:51

-I haven't let my health

-hold me back or let it worry me.

0:23:510:23:55

-That attitude has certainly helped.

0:23:550:24:00

-When are you going on holiday?

0:24:020:24:04

-When are you going on holiday?

-

-Sunday.

0:24:040:24:05

-This Sunday? Nice!

0:24:050:24:08

-For how long?

0:24:080:24:09

-For how long?

-

-A week.

0:24:090:24:11

-Delyth Jones from Llanfairpwll

-is also on dialysis.

0:24:120:24:17

-Delyth became gravely ill

-very suddenly.

0:24:170:24:21

-She had no idea anything was wrong.

0:24:210:24:24

-I crash-landed here last March.

0:24:240:24:28

-One day, I was working.

0:24:280:24:30

-The next, I was in an ambulance

-going to Casualty.

0:24:300:24:34

-What did they say

-when you were diagnosed?

0:24:350:24:38

-That I had to have dialysis.

0:24:380:24:40

-They said I could get

-some kidney function back...

0:24:400:24:46

-..or I'd be on dialysis for life...

0:24:460:24:49

-..until a possible transplant,

-if my health permitted.

0:24:490:24:55

-People associate it with old age.

0:24:560:25:00

-Unfortunately,

-it can happen to anyone.

0:25:000:25:04

-Are you having a transplant?

0:25:040:25:07

-Are you having a transplant?

-

-I hope so.

0:25:070:25:09

-My sister had tests

-in Heath Hospital, Cardiff.

0:25:100:25:15

-I hope we'll move forward

-in January.

0:25:160:25:22

-Cross fingers.

0:25:230:25:25

-I've carried a card since I was 14.

0:25:260:25:29

-I didn't think I'd ever need it.

0:25:300:25:33

-That's how it goes.

0:25:340:25:36

-You don't know

-when or who will need an organ.

0:25:360:25:41

-Are people still reluctant

-to talk about it?

0:25:420:25:46

-Yes.

0:25:460:25:47

-But at the end of the day, you

-don't need organs when you're dead.

0:25:470:25:52

-So...

0:25:530:25:54

-.

0:25:550:25:55

-Subtitles

0:25:580:25:58

-Subtitles

-

-Subtitles

0:25:580:26:00

-There you are.

0:26:010:26:03

-Let's play with the blocks.

0:26:040:26:07

-Sharon from Llangefni

-is on the kidney waiting list.

0:26:070:26:11

-But a live donor is another option.

0:26:110:26:14

-We only need one kidney.

0:26:140:26:16

-The donor's kidney and blood must

-be compatible with the recipient.

0:26:170:26:22

-It's usually a member of the family.

0:26:230:26:25

-To Sharon, a live donor's kidney

-is a real possibility.

0:26:260:26:30

-Her two daughters were tested

-and they are compatible.

0:26:320:26:36

-In the meantime,

-she's still on the waiting list.

0:26:360:26:40

-It's been a hard decision,

-knowing what to do.

0:26:410:26:44

-Wait for the phone call

-from Liverpool...

0:26:440:26:48

-..or ask someone to be a live donor.

0:26:480:26:52

-They were both insistent they

-wanted to do it, fair play to them.

0:26:520:26:57

-She didn't have to ask.

0:26:580:27:00

-My sister and I were tested first.

0:27:010:27:04

-Luckily, we were both a match.

0:27:060:27:09

-It was hard to decide between us.

0:27:110:27:14

-They said I had to choose.

-I couldn't pick one.

0:27:140:27:18

-How could I?

0:27:180:27:20

-They're so similar.

0:27:210:27:23

-Nia's BMI

-is a little higher than Sioned's.

0:27:240:27:30

-Sioned was chosen

-because she'd recover the fastest.

0:27:300:27:34

-She has a great kidney to give me.

0:27:340:27:37

-If she donates a kidney...

0:27:370:27:40

-..her other kidney

-is better than average.

0:27:400:27:43

-It's a comfort to know

-I'm not depriving her.

0:27:440:27:47

-I've had scans on the two...

0:27:480:27:51

-..and all sorts of different tests.

0:27:530:27:56

-They described my kidneys as being

-as healthy as a six-year-old's.

0:27:560:28:02

-It will be quite

-an undertaking for Sioned.

0:28:030:28:07

-But she's young, healthy

-and not overly worried.

0:28:070:28:11

-I've had a caesarean.

0:28:110:28:13

-They'll go through

-the caesarean scar.

0:28:140:28:18

-It takes up

-to twelve weeks to recover.

0:28:180:28:21

-It will mean

-a three day hospital stay.

0:28:220:28:25

-I won't need to take any medication.

0:28:250:28:28

-I was driving six weeks

-after the caesarean.

0:28:280:28:32

-I was fine.

0:28:330:28:35

-Sometimes I think

-I'd prefer a phone call.

0:28:350:28:38

-Then I think

-a live donor kidney would be better.

0:28:380:28:42

-What else can I do?

0:28:430:28:45

-I've psyched myself up so much

-that I'm the donor.

0:28:450:28:49

-I want to give it.

0:28:500:28:52

-I know she would do it for me.

0:28:550:28:57

-LAUGHTER

0:28:570:28:59

-People ask me,

-"Do you know what you're doing?"

0:29:020:29:07

-I know they're thinking about me.

-Perhaps they're scared.

0:29:070:29:12

-I haven't had the chance

-to be scared.

0:29:120:29:17

-I'm quite strong, I think.

0:29:170:29:20

-I get that from Mam!

0:29:200:29:23

-Gareth Roberts lives in Llanrug,

-near Caernarfon...

0:29:270:29:31

-..with his girlfriend Sara

-and their son Wil.

0:29:310:29:35

-Gareth had a kidney transplant

-when he was two.

0:29:350:29:39

-I couldn't pass water

-when I was born.

0:29:390:29:43

-By the time

-the problem was discovered...

0:29:430:29:47

-..both kidneys were beyond repair.

0:29:470:29:51

-I was six weeks old

-when they discovered the problem.

0:29:510:29:56

-Within the first year,

-they knew I'd need a transplant.

0:29:560:30:01

-I can imagine it was a worrying time

-for my parents.

0:30:040:30:09

-From what my parents say,

-I was lifeless.

0:30:110:30:15

-They could put me

-in a room for hours...

0:30:150:30:19

-..and I wouldn't move

-or make a noise.

0:30:200:30:23

-Do you want a drink?

0:30:230:30:25

-I was on the waiting list

-for three weeks.

0:30:270:30:30

-The call came in the early hours,

-to say a kidney was available.

0:30:310:30:35

-We travelled overnight to Manchester

-for the operation.

0:30:360:30:41

-It's been a part of my life.

0:30:430:30:46

-I've grown up knowing

-that every six weeks...

0:30:460:30:50

-..through junior and secondary

-school...

0:30:500:30:53

-..I'd have to go to Alder Hey

-for a check-up.

0:30:540:30:59

-It's always been a part of my life.

0:31:000:31:03

-That was a bit of a wobble.

0:31:070:31:09

-That one?

0:31:110:31:12

-I can't remember being ill,

-to know what it's like to be better.

0:31:120:31:17

-I had the kidney and I've lived life

-to the full.

0:31:170:31:23

-My immune system is weaker.

0:31:250:31:27

-It takes longer for me to recover

-from a cold or sore throat.

0:31:290:31:34

-In general, my health is excellent.

0:31:340:31:38

-It wasn't so easy for Ian Huw...

0:31:410:31:44

-..to recover after

-his heart transplant.

0:31:440:31:48

-He was under medical supervision

-for two years...

0:31:480:31:51

-..and put in an induced coma

-for his body to recover.

0:31:520:31:55

-He was in the coma for so many days,

-his body forgot what to do.

0:31:570:32:02

-He had to learn to walk again.

0:32:020:32:04

-When they were bringing him round,

-they sat him in a chair.

0:32:040:32:08

-He couldn't even hold his head up.

0:32:090:32:13

-He looked like an old man,

-not well at all.

0:32:130:32:17

-He had intensive daily physiotherapy

-because his muscles had wasted away.

0:32:170:32:23

-What worried him the most

-was not playing the guitar.

0:32:230:32:27

-He exercised his fingers.

0:32:270:32:30

-That was his priority, to make

-sure he could play the guitar.

0:32:300:32:36

-That was more important

-than walking!

0:32:360:32:39

-The first two years

-are the most difficult.

0:32:400:32:43

-Anything can happen.

0:32:430:32:45

-I had about six rejections

-in the first year.

0:32:460:32:51

-His body rejected the new heart.

0:32:510:32:54

-It was a foreign body.

0:32:550:32:57

-He had to take immunosuppressants...

0:32:570:33:00

-..so his immune system

-didn't attack the new heart.

0:33:000:33:04

-The word "rejection"

-isn't as serious as it sounds.

0:33:050:33:10

-I've seen images, or a video...

0:33:100:33:14

-..of an old heart next to

-a new heart on a monitor.

0:33:140:33:19

-The old heart pumps like this.

0:33:200:33:23

-The new one is much stronger.

0:33:230:33:25

-That's the difference.

0:33:260:33:29

-That isn't going to stop.

0:33:290:33:32

-The arteries are clean.

0:33:320:33:35

-That's not how rejection works.

0:33:360:33:39

-I didn't feel a thing.

0:33:390:33:41

-Kathy Rumbelow works

-in Glangwili Hospital, Carmarthen.

0:33:420:33:46

-She's a specialist nurse

-in organ donation.

0:33:460:33:50

-She stays

-with the bereaved family...

0:33:500:33:53

-..to discuss organ donation...

0:33:530:33:55

-..and whether to donate or not.

0:33:560:34:00

-She works with the grief-stricken

-family at a difficult time.

0:34:010:34:06

-It makes no difference

-if it's a child or adult.

0:34:070:34:11

-The family is grieving...

0:34:110:34:14

-..about the loss of

-a child, mother, father...

0:34:150:34:18

-..sister, brother, husband or wife.

0:34:190:34:21

-As a specialist nurse...

0:34:220:34:24

-..we use everything we've learnt...

0:34:250:34:27

-..to make sure that every

-family is treated the same...

0:34:270:34:32

-..whatever the circumstances.

0:34:320:34:34

-Most of the families

-decide to go ahead...

0:34:360:34:40

-..especially if it was

-the deceased's wishes.

0:34:400:34:43

-About a week after

-the transplant has taken place...

0:34:440:34:49

-..we write to the family.

0:34:490:34:53

-We provide information...

0:34:530:34:55

-..such as the sex and age

-of the organ donor.

0:34:560:35:01

-The families take comfort

-from the letter.

0:35:010:35:04

-It helps them through

-the period of mourning.

0:35:040:35:10

-Once the transplant

-has taken place...

0:35:110:35:14

-..the patient can choose

-to find out who the donor was.

0:35:140:35:20

-I'd have to make a formal request

-for information about the donor.

0:35:200:35:24

-I'd discuss it

-with a nurse or doctor.

0:35:250:35:29

-I've chosen not to know.

0:35:290:35:31

-I can find out the age...

0:35:320:35:34

-..sex and height of the donor...

0:35:350:35:38

-..and how the person died.

0:35:380:35:41

-I can find out that much.

0:35:410:35:43

-I can send a letter of thanks

-to the department in Manchester.

0:35:430:35:48

-If the donor's family decides

-to find out, they can.

0:35:480:35:54

-But they can't find out who we are.

0:35:540:35:57

-I'd want to know.

0:36:000:36:03

-He's chosen not to.

0:36:030:36:05

-He's had a new life

-at someone else's expense.

0:36:060:36:10

-I can't imagine where it came from,

-or what the circumstances were.

0:36:120:36:17

-Perhaps there's an element of guilt.

-He's alive when someone died.

0:36:170:36:22

-Somehow...

0:36:250:36:26

-..I don't want to dwell about

-what the family went through.

0:36:270:36:32

-What might they think about me?

0:36:320:36:36

-I couldn't find the words...

0:36:360:36:39

-..to express how grateful I am.

0:36:400:36:45

-It's been easier for me

-to forget about it.

0:36:460:36:51

-It's not something I'm proud of.

0:36:510:36:54

-That's how I've chosen to play it.

0:36:540:36:58

-Jackie received her kidney

-five months ago.

0:37:000:37:04

-She wanted to know

-who the donor was...

0:37:040:37:07

-..and to write to thank the family

-for the gift she'd received.

0:37:070:37:11

-It's hard to believe someone else's

-kidney is keeping me alive.

0:37:120:37:17

-I wanted to know about the donor.

0:37:170:37:22

-I couldn't find out much. I know

-he was a man the same age as me.

0:37:220:37:27

-He was married.

0:37:270:37:29

-I wanted to write

-as soon as possible.

0:37:300:37:36

-I was advised to leave

-it for a few months...

0:37:370:37:40

-..until I'd recovered

-from the operation.

0:37:400:37:45

-It's hard to just say thank you.

-It's not enough, really.

0:37:450:37:50

-There's a lot I want to say.

0:37:500:37:53

-I want to be concise,

-and not to be overemotional.

0:37:540:37:58

-I want them to understand

-how grateful I am...

0:37:580:38:03

-..and to know

-they've done something very special.

0:38:040:38:09

-I want them to know...

0:38:090:38:12

-..that I'll look after it...

0:38:140:38:17

-..and we could grow old together.

0:38:180:38:22

-.

0:38:240:38:25

-Subtitles

0:38:290:38:29

-Subtitles

-

-Subtitles

0:38:290:38:31

-When an organ

-is transplanted to a new body...

0:38:370:38:41

-..the recipient faces

-an uncertain future.

0:38:410:38:44

-A foreign organ won't do as well

-as the original, healthy organ.

0:38:440:38:50

-The recipient lives

-with the knowledge...

0:38:510:38:55

-..that the new organ

-could fail at any minute.

0:38:550:38:59

-Life expectancy

-for a man is 75 or 76.

0:38:590:39:03

-I had my organ when I was 53.

0:39:040:39:08

-They say to give it ten years.

0:39:080:39:12

-But I know

-people who have had 20 years.

0:39:120:39:15

-That'll take me up to 70.

0:39:150:39:18

-And of course,

-from December onwards...

0:39:180:39:22

-..I might get offered the chance

-of a further twenty years.

0:39:220:39:28

-People ask me

-if his character has changed...

0:39:290:39:33

-..whether he has

-the donor's features.

0:39:340:39:37

-He hasn't changed.

0:39:370:39:39

-No!

0:39:400:39:42

-It's strange to think

-he has someone else's heart.

0:39:430:39:47

-From

-a psychological perspective...

0:39:470:39:50

-..I was surprised there

-was no-one to talk to about it.

0:39:500:39:55

-It could have

-a big effect on the person.

0:39:550:39:58

-I don't think it's affected him.

0:39:580:40:01

-It could, to think

-he has another person's heart.

0:40:010:40:05

-We associate

-the heart with emotions...

0:40:050:40:10

-..unlike the liver.

0:40:100:40:12

-It must be very strange...

0:40:140:40:16

-..to think

-it's someone else's heart.

0:40:160:40:22

-Gareth had a kidney transplant

-as a baby...

0:40:250:40:29

-..enabling him

-to enjoy family life today.

0:40:300:40:33

-It's great to have a little boy...

0:40:330:40:36

-..however healthy you are.

0:40:360:40:39

-I was worried

-when we knew Wil was coming...

0:40:400:40:43

-..whether he'd have

-the same problem as me.

0:40:440:40:48

-Could it be passed down?

0:40:480:40:50

-Thank goodness, it wasn't.

0:40:500:40:53

-And now I have an 18-month-old boy.

0:40:530:40:57

-On average,

-a new kidney lasts six years.

0:40:580:41:03

-Gareth's kidney has worked well

-for 27 years.

0:41:030:41:07

-It could fail tomorrow, next year

-or six years down the line.

0:41:070:41:13

-As far as I'm concerned,

-it's done so well.

0:41:140:41:18

-I'm still taking tablets.

0:41:180:41:21

-I go for check-ups to Ysbyty

-Gwynedd every three or four months.

0:41:220:41:27

-It's part of my life to do that.

0:41:290:41:33

-It could happen at any time.

0:41:350:41:37

-There's nothing I can do

-to prevent that.

0:41:370:41:40

-If I keep taking the tablets,

-there's a chance it won't happen.

0:41:410:41:46

-Ian was lucky enough

-to have a new heart.

0:41:500:41:53

-But his other organs have suffered

-while he waited for the transplant.

0:41:540:41:59

-He's worried about his kidneys...

0:42:000:42:02

-..and what could happen

-if they deteriorate further.

0:42:020:42:07

-I've come to see Mr Jibani,

-the kidney specialist.

0:42:080:42:13

-I see him every three months.

0:42:130:42:16

-He's more than happy

-with the way things are.

0:42:160:42:20

-He'll check the blood results

-to find out where I stand.

0:42:200:42:25

-What is he looking for?

0:42:250:42:28

-Creatinine levels.

0:42:280:42:30

-It's a kidney function reading.

0:42:310:42:34

-A healthy person

-would have levels below 100...

0:42:350:42:39

-..about 90.

0:42:390:42:41

-I'm on 180, which is too high.

0:42:420:42:45

-But it's stayed round 180

-for two to three years.

0:42:450:42:50

-We're happy with that.

0:42:500:42:52

-How are you?

0:42:520:42:54

-How are you?

-

-Very well.

0:42:540:42:56

-No problems.

-Nothing untoward going on.

0:42:560:43:00

-Let me show you what your

-last kidney test looked like...

0:43:010:43:05

-..if it's any different from before.

0:43:050:43:08

-Creatinine was 193.

-It's gone down slightly.

0:43:080:43:11

-193?

0:43:120:43:13

-193?

-

-It's gone up slightly.

0:43:130:43:15

-I thought I was round the 180.

0:43:160:43:20

-180 and 190

-is really exactly the same.

0:43:200:43:24

-For example, if I do a blood test,

-the same sample, twice...

0:43:240:43:29

-..you get 5% difference

-in the same analysis.

0:43:290:43:33

-I wouldn't worry about it.

0:43:330:43:35

-If we find a trend,

-going up steady every week...

0:43:350:43:39

-..then we'd start to worry.

0:43:390:43:42

-I'm happy with the way it is.

0:43:420:43:44

-Looking back, Ian, you can see that

-in 2013, it was 195.

0:43:440:43:48

-It does have that difference,

-up and down.

0:43:480:43:51

-But the overall trend

-is very stable.

0:43:520:43:55

-As long as your kidney function

-seems stable, I'm happy.

0:43:550:44:00

-Would there be a possibility

-of my having a kidney transplant?

0:44:000:44:05

-Yes.

0:44:050:44:06

-I had a patient

-who had a liver transplant...

0:44:070:44:10

-..and had exactly

-the same story that you have...

0:44:100:44:13

-..the degree of damage

-to the kidneys.

0:44:130:44:16

-We ended up giving him

-a kidney transplant.

0:44:160:44:20

-I don't think you're anywhere

-near that, by the way.

0:44:210:44:24

-My job is to make sure

-that you are monitored just in case.

0:44:250:44:30

-That's nice to hear.

0:44:310:44:33

-That's nice to hear.

-

-So far, all looking good.

0:44:330:44:35

-Cheerio!

0:44:360:44:37

-Thanks.

0:44:400:44:41

-That went well.

0:44:410:44:43

-Yes. I'm very pleased

-about the blood reading.

0:44:440:44:49

-I could tell from his expression

-that he wasn't worried about me.

0:44:510:44:56

-That was nice. It was a good chat.

0:44:560:44:58

-You asked whether you'd be a

-candidate for another transplant.

0:44:590:45:04

-Did his reaction surprise you?

0:45:040:45:05

-Did his reaction surprise you?

-

-The answer was great.

0:45:050:45:10

-It was as if he was saying,

-"Yes, of course. Why do you ask?"

0:45:100:45:16

-Since I've had the transplant...

0:45:160:45:19

-..being under medical supervision...

0:45:200:45:22

-..in Wythenshawe Hospital,

-Manchester...

0:45:230:45:26

-..or Ysbyty Gwynedd in Bangor

-is the norm for me.

0:45:270:45:31

-I'm glad we live in an age

-where it's possible.

0:45:330:45:37

-My kidneys are doing well.

0:45:380:45:41

-I don't need dialysis.

0:45:410:45:43

-There will be a time

-when I'll need dialysis.

0:45:430:45:48

-That's when they'll decide

-whether to put me back on a list.

0:45:480:45:52

-The new legislation will do me,

-and people like me, a big favour.

0:45:520:45:58

-It's hoped that presumed consent...

0:45:590:46:03

-..will result in more organs

-for transplants.

0:46:030:46:07

-Talking about it is vital...

0:46:080:46:10

-..to ensure families are aware

-of their loved one's wishes.

0:46:100:46:15

-We hope the new law means

-people will talk about it.

0:46:170:46:21

-Presumed consent

-has been introduced.

0:46:210:46:24

-It needs to be discussed

-and decisions made.

0:46:240:46:29

-If something happens, and the family

-is asked about organ donation...

0:46:290:46:34

-..if the family is against it,

-or don't know the person's wishes...

0:46:350:46:40

-..they can say no

-and nothing will happen.

0:46:400:46:43

-I've encouraged people

-to donate organs...

0:46:430:46:47

-..ever since I understood

-what organ donation is.

0:46:470:46:52

-It was life-changing to me

-when I was a baby.

0:46:530:46:58

-It's life-changing for anyone,

-regardless of age.

0:46:590:47:03

-I was on the donor register...

0:47:030:47:06

-..before I knew I was ill.

0:47:070:47:09

-I didn't know

-what the future held for me.

0:47:100:47:13

-I wish people

-wouldn't be frightened...

0:47:140:47:17

-..and that they discussed it more.

0:47:170:47:21

-They should realize

-how big a gift it is.

0:47:220:47:27

-It's the gift of life, literally.

0:47:270:47:31

-It opens the floodgates

-for people like me.

0:47:310:47:35

-It's such an incredible gift

-to give.

0:47:350:47:38

-Your child, grandchild or niece

-might need an organ.

0:47:390:47:43

-You never know.

0:47:430:47:44

-If you're happy to accept one,

-you have to give.

0:47:450:47:48

-I don't understand

-the argument against it.

0:47:490:47:53

-It's sad that someone has died.

0:47:540:47:57

-But if some good can come of it...

0:47:570:48:00

-..and giving someone

-the gift of life, why not do it?

0:48:000:48:05

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