Mae babi'n cael ei drosglwyddo ar frys i ysbyty ym Manceinion ac un arall yn dod i mewn o Ysbyty Alder Hey. A baby is rushed to a hospital in Manchester and another comes in fro...
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-Every day is different on Dewi Ward.
-Speaking for myself...
-..I arrived in this world
-six weeks prematurely.
-Arya was 12 weeks too early.
-She needs to be monitored carefully.
-She took three years to arrive.
-..I wasn't very well
-during the pregnancy.
-She'll be the only one.
-Some small children have spent most
-of their lives in hospital.
-This is Harry John Kane Jones.
-We're in since Saturday night.
-he stopped breathing twice.
-Saline at three o'clock
-or do you want one sooner?
-We'll have a bit now,
-if you don't mind.
-Get it now?
-Get it now?
-Yes, thank you.
-He's got a prognosis
-of myotubular myopathy.
-It's a muscle problem.
-It's very rare.
-Harry can't get rid of the mucus
-from his lungs.
-It means that any sort of cold
-puts him at risk.
-On that night, the secretions
-were just too much for him.
-We couldn't stop it from coming out.
-He's not supposed to throw up
-because he's nil by mouth.
-He threw up.
-Then my seven-year-old daughter
-tried to help.
-We tried to give him oxygen
-and tried to clear everything.
-It got worse and the machine told me
-that he basically stopped breathing.
-I had to resuscitate him.
-I had to get all the saliva...
-..out of his nose and mouth
-with my own mouth.
-I had to do that
-because the machine wasn't working.
-I gave him mouth to mouth then.
-He recovered quite quickly.
-But it was scary.
-It's not something
-I want to do every time.
-Elsi is another baby who's been
-a cause for concern for her parents.
-She has fits after having
-After her recent one,
-she had a fit for 50 minutes.
-She came out of it and then she was
-in another fit for two hours.
-So, we're waiting for answers,
-We're waiting to hear why
-from Alder Hey.
-Gwennan is concerned that the fit
-may have caused brain damage.
-The doctor wants to reassure her.
-She's fine at the moment,
-bloods are fine, blood gas is OK.
-We're happy with that.
-what the reason happening...
-..we're not sure at the moment.
-That's what you need
-to discuss with them.
-But keep in mind,
-she's fine at the moment.
-Blood pressure is fine,
-heart rate is OK.
-Her temperature is slightly up but
-that could be due to immunization.
-It happens with children, a slight
-temperature. Nothing to worry about.
-We assure you
-brain is working very well.
-OK, little girl?
-OK, bye bye.
-Because Harry can't get rid
-of the mucus in his lungs...
-..Fiona, the physio,
-is coming to lend a hand.
-Did she use a mask like this?
-I've never seen anyone use a mask.
-It's a good idea.
-It just means that
-mum, dad, auntie, uncle can.
-You won't hurt them but you can get
-it in the right place.
-You've got quite big hands,
-they're quite the size of him.
-We've been in Liverpool
-for the last eight months.
-We haven't been home long,
-three weeks and this happens.
-We carry out his full-time care.
-We give him his feeds, medicine,
-and try to do the suction.
-We do the oxygen, we work on his
-chest to clear it out.
-We have to do a lot.
-It's a rare condition,
-not many children have it...
-..it's going to take time
-for the nurses to learn...
-..and get to know him.
-His illness isn't run-of-the-mill.
-With all of us working together,
-we'll get there eventually.
-It's going to take time.
-Sometimes, in order to save
-..which can happen
-all of a sudden...
-..they have to focus
-on one child only.
-The baby came just now,
-thirty minutes ago.
-A six-month-old baby
-with severe respiratory distress...
-..with a complicated background...
-..known as a chronic patient
-to Alder Hey.
-I think it's due to some kind
-of viral infection.
-We're trying all things.
-By the time he arrived,
-he's struggling, seriously.
-The sats are very low.
-The heart rate is very high...
-..which is a sign of severe
-breathing problems or distress.
-Joshua is gravely ill.
-The crash team from the intensive
-care unit came down...
-..to Dewi Ward to stabilize him.
-As we assessed him,
-he was having trouble breathing.
-required intensive care.
-I did his observations...
-..just from looking at him, he was
-grunting, pale and had blue lips.
-He needed a high level of oxygen.
-The doctors and nurses keep coming.
-Each and every one is a specialist.
-This is an emergency case.
-We have to strive for accuracy.
-We all have to work as a team.
-The anaesthetist has arrived.
-As experts we need to work together.
-The anaesthetist is in place so they
-are doing the intubation process.
-Yes, we have to first
-of all resuscitate the baby...
-..if their condition
-is quite severe.
-Our training in resuscitation
-which kicks in.
-So, we have to make sure
-that the airway is clear...
-..and that they're able to breathe.
-Joshua is now unconscious.
-He needs a machine
-to control his breathing.
-For the time being,
-the emergency is over...
-..even though Joshua
-is still seriously ill.
-He needs the expertise of one
-of the country's larger hospitals.
-We had a bit of bad news overnight.
-One of the little girls.
-We weren't expecting this at all.
-She'd been great. She'd been taking
-her treatment well.
-It looked favourable for her.
-She was responding well
-to the chemo.
-She had a scan. Oh, when was that?
-She had a scan some three weeks ago.
-That scan showed a slight response
-to the chemotherapy.
-Everyone was pleased with that.
-She chose to keep going
-with the chemotherapy.
-And then, everything was going fine.
-I don't like this part of the job.
-Her mother phoned me
-later in the evening.
-She told me that they'd
-found a bleed on the brain.
-She was heading to the HDU
-to be intubated.
-I phoned at midnight
-before heading to bed.
-The girls told me
-she was up on the unit there...
-..and that she was critical.
-I phoned this morning before I went
-to work and spoke to her mother.
-She told me that they'd turned off
-the life support this morning.
-I'll visit tomorrow.
-I won't go today.
-She has plenty of people around
-today. I'll go see her tomorrow.
-The ambulance taking Joshua
-to Manchester has arrived.
-In it there's a doctor,
-nurse and driver.
-Their experts at transferring
-critically ill patients...
-Before they leave,
-a team from Ysbyty Gwynedd...
-..hand over Joshua's medical records
-about his condition and treatment.
-It's a two-hour journey.
-They have to be prepared
-in case his condition worsens.
-Harry may be facing
-a journey to Alder Hey...
-..if his condition doesn't improve
-in the next few days.
-What they've said is they want
-to keep him on the same antibiotics.
-They want to make sure
-he's comfortable which he is.
-We need to carry on doing what
-we're doing on a day-to-day basis.
-The next plan
-is that tomorrow morning...
-..he'll have more physio
-on his chest...
-..to clear more of the saliva
-that's built up at the top.
-And then, I'm hoping in the next
-couple of days...
-..he'll start being more himself.
-More than anything his temperature
-needs to come down.
-A high temperature makes his heart
-beat faster than it should.
-If that settles,
-everything else should follow.
-Alder Hey Hospital has also been
-in touch about Elsi's fits.
-Hello, how are you, Mum?
-I'm fine, thanks.
-I got an answer from Alder Hey.
-They don't think
-it's the immunization.
-They think the immunization
-caused the temperature.
-Indirectly, yes, immunization caused
-Due to the temperature,
-the convulsion happened.
-So we have discussed in the morning
-it could be febrile convulsion...
-..the same thing they're thinking.
-The second thing...
-..is about the vaccination
-which happens at the age of one...
-..they think it's a better idea
-to give them in hospital.
-Before the vaccination
-..and keep her in hospital.
-It's more responsible and more
-comfortable for you as well.
-Because at home, it's more anxiety.
-The next step with Elsi is a lumbar
-puncture to rule out meningitis.
-And then we'll have
-to see from there.
-If she's alright after that,
-she may get to go home tomorrow.
-So, it's still a bit
-of a concern for me.
-She's had these fits
-every time after a jab.
-They're saying the jabs aren't the
-problem and it's her temperature.
-It's going to be
-a bit stressful for a while.
-I think so, won't it, Els?
-While Elsi has a lumbar puncture...
-..Asha has arrived
-to perform more physio on Harry.
-he won't have to go to Liverpool.
-Don't make a noise again, OK?
-You've lost your dummy.
-On an adult, I'd use my hand,
-cup it and tap it like this.
-They're so small,
-these masks are quite handy.
-It's like an
-old-fashioned ketchup bottle.
-It loosens the snot.
-The lungs are lined with tiny hairs.
-They just scoop up
-all those secretions.
-They send them up to the
-back of the mouth and the nose.
-with suction from the mouth.
-Sometimes, I put a very small tube
-down through the nose.
-We do this to children
-..but usually they're in Alder Hey.
-We got taught by the team
-at Alder Hey.
-The first thing that happens
-at home is that things clog up.
-He'll get what's called a plug.
-It's just hardened snot.
-A normal child can cough or sneeze
-it up. Harry can't do that.
-We have to go in ourselves
-and clear it out.
-We do it every morning.
-This suction machine,
-we're up all night with it.
-We're constantly getting rid
-of whatever's in his mouth and nose.
-We do it to stop what happened today
-It's a lot of work.
-I don't think, actually,
-I'll give him another suction.
-He doesn't sound too bad.
-What do you think?
-He sounds much better than he was.
-Much better. Thanks.
-You can have some peace now.
-You can have some peace.
-The next in is Elis Jones.
-He's more than used to the hospital.
-He's been ill
-for a couple of weeks.
-We brought him here in the early
-hours of Monday morning, at 1.00am.
-He just cried and cried.
-He was struggling to breathe
-so we called an ambulance.
-They told us to come straight here.
-He's been up all night.
-He's been crying
-and rubbing his ears.
-I thought he might have
-an ear infection or something.
-He had constipation too.
-We don't know anything,
-they haven't told us anything yet.
-He's given a urine sample...
-..and we're waiting
-for the results to come back.
-When he was born,
-he wasn't breathing.
-He was in a box and we weren't
-allowed to touch him.
-We weren't allowed to see him.
-He had tubes in his nose.
-The next day, they shifted him
-to Liverpool in a box.
-He was covered in tubes
-when he arrived at Alder Hey.
-He had a lump at the top
-of his nasal palate.
-It was 3cm x 2cm wide.
-He had to have an immediate
-operation. He had two, three fits.
-He had one in Bangor
-and two in Alder Hey.
-We didn't know what was going on.
-We got there on Sunday, he had
-the operation on the Thursday.
-It was a four-hour operation.
-It basically just killed
-my partner and me.
-Watching him not moving.
-Loads of tubes.
-He wasn't the same.
-We'd never seen him before.
-After that Thursday,
-he got to come home on Monday.
-He's been having regular check-ups
-in Alder Hey.
-They wanted to see if the lump grew.
-So far, so good.
-It's almost time to transfer Joshua
-to Manchester Children's Hospital.
-Alder Hey have just phoned.
-Harry's consultant doctor in
-Liverpool wants to assess him.
-This is one of the biggest blips
-he's had since he came home.
-They want to make sure
-that everything we do...
-..is the right thing for him.
-The machine he has isn't adjustable.
-It's especially made for Harry.
-They need to review it...
-..to make sure that
-it's on the correct pressure.
-It's what helps him
-through the day...
-..to get the energy
-to do what he wants to do.
-If that isn't right,
-it's going to show in the day.
-I think that will be a full review.
-I don't know if we'll be there
-for a day or two.
-it will be there and back.
-We won't know until we get there.
-Your wife has just left,
-..thinking it'll be months again.
-We were there a long time last time.
-We were there a long time last time.
-Over eight months all together.
-He's due a change on this peg too.
-This is due,
-so they may change that.
-What they try to do
-when we do go to Liverpool...
-..as Harry can't travel
-far in the car.
-Travelling to Liverpool takes
-two hours and a lot out of Harry.
-To come back in the same day is
-difficult. Oh, yes.
-He says no, he doesn't want to!
-We'll have to see.
-The babies are still coming
-to Dewi Ward.
-This is Kaya.
-She's been rushed here
-in an ambulance.
-She's got a high temperature
-She's got dizzy spells.
-The usual sort of things
-at the moment, really.
-Not herself, yeah.
-Took her to the surgery, the doctor
-wasn't happy with her heart rate.
-It was too fast.
-Her breathing was really fast.
-She phoned for the ambulance.
-We came in by ambulance.
-By the time they turned up,
-she started looking a lot better.
-As they do.
-While one is waiting for a doctor,
-another is seeing a doctor.
-They've said he can go home now,
-Hopefully, everything's OK and we
-won't have to come back here.
-He's got a minor ear infection.
-We'll just go home now.
-Harry, after less than two months
-..is on his way back to Liverpool.
-Hi, how are you?
-I'm fine, and you?
-I'm fine, and you?
-Thank you. See you soon.
-I hope he'll be OK on the way
-because it's a long journey.
-His mother is with him so he's safe.
-We know him better than anyone.
-I hope he won't get worse
-on the way.
-I don't want that to happen.
-At least we're going there now
-and we can sort this out.
-I'm driving up because I've got to
-come home and see to our daughter.
-It's hard, being in two places
-at the same time.
-Nain and Taid are looking after her.
-It's been a long eight/nine months.
-It feels like you're going three
-steps forward, ten steps back.
-It is hard.
-He's all that matters.
-So long as he's safe, I'm happy.
-I'd be happier if he was at home.
-After eight hours on Dewi Ward...
-..Joshua is ready to go
-to Manchester Children's Hospital.
-There's a bed waiting for him
-at the intensive care unit.
-S4C Subtitles by Testun Cyf.
Mae babi'n cael ei drosglwyddo ar frys i ysbyty ym Manceinion ac un arall yn dod i mewn o Ysbyty Alder Hey. A baby is rushed to a hospital in Manchester and another comes in from Alder Hey.