Pennod 12 Ward Plant

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-It's early morning on Dewi Ward.

-The day is only just beginning.

-Sally, the cleaner, has some news

-and she needs to share it.

-I had five numbers

-on Thunderball yesterday.

-I'll retire once the postman comes.

-As the doctors get ready

-to meet the night's new arrivals...

-..there's one young lad

-very eager to tell his story.

-My name is

-Llywelyn Glyn Celt Griffiths.

-I'm in here because I had a seizure

-a few days ago in bed.

-What happened?

-How do you remember what happened?

-Dad told me what happened.

-I didn't know what happened.

-That's all.

-I didn't remember things

-until about 30 minutes later.

-The worst day of my life,

-witnessing that.

-It would be for any parent

-seeing that happen to their child.

-Hi, I'm Dr Parry, the consultant.

-Can you tell me what happened

-from the beginning?

-I'm sorry if we all

-make you tell the same story.

-He was sleeping with me,

-he hasn't been feeling well.

-Something hasn't been right

-for a long time.

-Yes. We were sharing a bed.

-I was half asleep and I turned

-round, I could hear him shaking.

-You heard the sound first.

-I heard him shaking.

-I saw him,

-I wasn't sure what was happening...

-..I thought he might be choking.

-I grabbed him

-and tried to hit his back.

-Were his arms and legs shaking?

-Was everything shaking

-or just one part of his body?

-His whole body.

-His whole body.

-

-His whole body.

-His arms wouldn't move out,

-it was his whole body.

-Were his eyes closed,

-do you remember?

-They were open and there

-was saliva coming from his mouth.

-Has he ever had

-anything like this before?

-He's been suffering with a headache

-for a long time.

-Yes, around 18 months.

-He says he feels weak all over.

-OK.

-Does the feeling weak

-go with the headache?

-Say you've got no headache, do you

-feel fine then or still weak?

-I don't feel quite myself.

-OK, so something's not right then.

-He said on Friday or Saturday

-that he felt funny.

-He couldn't explain it

-and hadn't felt like that before.

-So something wasn't right, OK.

-There was definitely something wrong

-with Sion when he came in.

-He doesn't have

-his appendix any more.

-It was my birthday.

-Everyone was eating and playing.

-I had a bit of a stomach ache.

-The day passed and the next morning

-I went to school.

-I had a pain.

-After school, I was still in pain,

-quite a lot of pain.

-It got worse every day.

-What did Mam and Dad say

-when the pain got worse?

-"Oh, it's just a bug.

-It's just a bug."

-We realized fairly soon that it

-was something more than just a bug.

-He wasn't walking right.

-I'm quite good

-at sussing things out in the end.

-As a rule, if you catch a bug,

-there's diarrhoea.

-That's when we noticed it.

-That's when we noticed it.

-

-Was he throwing up?

-No, he wasn't.

-He might have been sick once.

-They phoned the doctor

-and then I came here.

-What do you remember from here?

-The nurses were sticking needles

-into me.

-They monitored him for a while.

-They weren't absolutely sure.

-Then they operated on him

-the following day.

-They said it was severe

-for an appendix.

-Had it burst?

-Had it burst?

-

-Yes, it had.

-So you were very lucky.

-So you were very lucky.

-

-Yes, he's been very lucky.

-He's been very ill.

-Owain, have you and Dad

-looked after the farm...

-..while your brother

-was in hospital?

-We've been going home.

-We've been back

-to see the dog and the sheep.

-Have you managed without Mam?

-Yes, my brother is there

-to take care of the farm.

-Hello, I'm phoning from Dewi Ward.

-We've got a young lad here,

-Llywelyn Griffiths.

-He's waiting

-for an eye clinic appointment.

-I wanted to know if it was today or

-if it's OK for us to send him home.

-It sounds as if you had a fit.

-Usually,

-if you want to move your arm...

-..your brain tells your arm to move.

-When you have a fit...

-..your brain becomes confused

-and makes everything shake.

-Everyone has one fit and

-we don't worry too much about it.

-If I had one or Dad had one,

-you have one...

-..we don't think it's epilepsy.

-Everyone gets one.

-What's slightly different in yours

-is that you had it...

-..after a headache

-and feeling a bit unwell.

-We need to make

-a bit of fuss about yours.

-The first thing we've done

-is we've taken a blood sample.

-We're going to put those together.

-We've got a photograph

-of what goes on in your head.

-We'll check

-if there's a brain there.

-We'll check that

-to make sure it's OK.

-Sometimes,

-depending on what we find...

-..sometimes we do another test

-called an EEG...

-..we put sticky labels on your head.

-We'll measure what happens

-inside your brain.

-We might have to, we might not.

-We'll wait and see

-what the other results show.

-Most children who have a fit

-but don't have another one.

-But we need to do these tests

-to work out what happened.

-Gwyn is another lad

-who's had a difficult night.

-I was sleeping last night.

-I'd come back from swimming club.

-And then,

-I woke up with a tight chest.

-After that, I got up

-to go and tell Mam or Dad.

-I wanted to tell them my chest

-was causing a lot of pain.

-I ended up going blank.

-Then I woke up on the floor

-and I'd hit my head...

-..against the wall

-and dented the plaster.

-They were concerned at first

-that it was heart-related.

-By now, they're quite confident

-as tests have come back positive.

-They want to monitor it

-just in case.

-They want to monitor him

-when it happens to be certain.

-I think he'll be a cause for concern

-for a while.

-I'll just quickly listen

-to his heart.

-The doctor has come to see how Sion

-is doing after his treatment.

-Everything looks good.

-When the appendix bursts,

-the body can become infected.

-You have to keep an eye

-on the blood tests.

-Any pain?

-Yes.

-No pain here?

-Where? On this side?

-The chest is clear,

-heart sounds are normal.

-Abdomen is soft.

-Superficial.

-Patient is complaining of pain...

-..but it's related

-to the operation most likely.

-Put the cannula in in a minute...

-..we'll take blood tests

-at the same time.

-Thank you very much.

-Gwyn is the next to be seen

-by the doctor.

-Gwyn's condition is causing

-some confusion.

-He has no history of asthma.

-He wasn't injured.

-What caused him

-to lose consciousness?

-Any pain here?

-There was on the right side.

-Here?

-Here?

-

-Yeah.

-I've been having chest pains...

-..while exercising

-on and off for the past two years.

-Have you seen anyone

-for that before?

-He was brought in here two years

-ago.

-They said it was quite common for

-children to have one-off seizures.

-Unless he had more, they weren't

-going to investigate further.

-That's when they did the ECG.

-That's when they did the ECG.

-

-Yeah.

-The seizure never happened again.

-The seizure never happened again.

-

-No.

-Thank you. Thank you very much.

-The doctor wants to investigate

-further into what happened to Gwyn.

-It's best to check him out

-and have the tests while he's here.

-We'll keep our fingers crossed.

-Are you happy?

-Yes.

-You're tired.

-You look tired.

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-The staff get together to assess

-patients' conditions twice a day.

-When it's busy on Dewi Ward,

-it's a difficult morning.

-Where are his papers?

-Is he better?

-He has improved.

-Has he been feeding

-a bit better this morning?

-Yes, he's had five or six ounces

-every four hours.

-So better than yesterday.

-So better than yesterday.

-

-Yes.

-Is there a better colour

-on these little legs, I wonder.

-I'll just pull them up.

-A little bit.

-Oh, that's better.

-Aren't you a good little lad.

-This youngster's name

-is Tomos Parry.

-He has a high temperature.

-Thanks.

-Right.

-There wasn't much wrong

-with the blood test.

-Oops, oh, that's my fault

-for moving him around.

-We check for two things in the blood

-when looking for an infection.

-One is CRP...

-..which goes up with tonsillitis

-or a bladder infection...

-..whatever the infection,

-CRP goes up.

-His CRP wasn't high. That's good.

-The other check we carry out...

-..is for white blood cells

-which fight infection.

-His blood clotted

-so the test didn't work.

-We need to retake that

-at some point.

-We frequently

-redo the CRP anyway...

-..to make sure

-we haven't missed anything.

-We'll do them both together

-at some point today.

-Have we had a urine sample from him?

-Have we had a urine sample from him?

-

-Not yet, no.

-We need a urine sample from him.

-We've got a bottle with a funnel,

-we'll leave you that.

-Good luck with that.

-The quicker we get it the better...

-..so we can rule that out

-as a source of the infection.

-Alright.

-Alright.

-

-Thanks.

-You're welcome.

-Who do you think has the job

-of collecting the urine sample?

-Who but Mam?

-There's a funnel there.

-It's a job for you!

-They want it as soon as possible.

-I've got some good news for you.

-What?

-What?

-

-You're sleeping here tonight.

-Hey, Mami's baby.

-Hello, hello.

-Little Tomos came in

-yesterday afternoon.

-He's not quite three months old.

-He came in because he had

-a high temperature.

-A high temperature

-is common in children.

-It's not very common

-in children under three months.

-If you think back as a parent...

-..rarely does such a young baby

-get such a high temperature.

-We tend to make more of a fuss

-when they get a temperature...

-..than we would with an older child.

-Two and three year olds

-get a temperature frequently.

-They get a lot of viruses.

-Babies under three months

-don't often get a high temperature.

-He started crying, an unusual cry,

-on Sunday night.

-You know, as a mother,

-that he's not right.

-He had a slight temperature

-so I gave him some Calpol.

-On Monday night

-he started crying again.

-I took him to see the doctor

-yesterday morning.

-The doctor couldn't find anything

-specific that was wrong with him.

-He had a temperature

-and his skin was a bit mottled.

-It can be a sign of dehydration.

-I hadn't seen it.

-It's lucky I went to the doctor.

-The doctor said as he's so small

-with a temperature...

-..and not taking his milk,

-we should bring him in just in case.

-We thought he might have

-what we call sepsis.

-It's something a lot of people

-have heard about recently.

-It's in the papers frequently.

-It's an infection,

-not in a particular place...

-..like tonsillitis but an infection

-where the whole body is affected.

-The infection can start in

-the chest, urinary tract, throat...

-..but it then spreads

-through the body.

-That is what we think Tomos has.

-He had blood tests yesterday.

-Luckily, those were quite normal.

-Despite that,

-when blood tests are positive...

-..they make us think

-there must be something somewhere.

-If they're negative

-and the baby's still ill...

-..we treat the baby

-not the numbers from the lab.

-Despite his blood tests

-being normal yesterday...

-..we're still treating him

-for sepsis...

-..because the signs are still there.

-He's on antibiotics.

-He'll get them intravenously.

-We'll administer it for at least

-two days, possibly five days.

-After two days,

-we'll get blood test results...

-..which are specifically looking

-for bacterial infections.

-Once results are known, we can

-decide for how long to continue.

-Hopefully, everything will come back

-alright today so we can go home.

-No. That will be tomorrow.

-Great.

-They've already said that.

-Have they?

-They want to put him on antibiotics

-and take more blood.

-Well, I'm glad

-to be here with him today.

-It was a long night without him.

-I had my hands full with the other

-children but I missed him.

-Four days after his appendix was

-removed, Tomos is feeling better.

-He had to get back on his feet

-as he's a bit of an entrepreneur.

-He has a successful business

-selling eggs.

-In a day or two...

-..I'll be on the sofa

-and doing things that I used to do.

-What about the hens?

-I'll be counting money

-from the hens, fixing the tractor...

-..and helping Dad with the hens.

-How will you do that on the sofa?

-I'll be doing it in one hour shifts.

-One hour on the sofa,

-one hour for the hens.

-I'll count the money after that.

-How much money

-do you think you've accumulated...

-..while you've been in hospital?

-Um, around 10.

-Will you have 10? How many

-customers do you have?

-I have a lot of customers.

-Llywelyn is heading home.

-In case he has another fit,

-Dad has to learn what to do.

-Just follow this.

-Assess the situation.

-Move any objects nearby

-that could cause injury.

-Place a cushion under his head.

-That will help protect his head.

-Move his head

-to one side if you can.

-Try to make sure

-he has nothing in his mouth.

-Don't push anything into his mouth,

-keep that clear.

-You need to try and time the fit.

-Try to keep an eye on a watch

-and try to time how long it lasts.

-Write it down if that helps.

-Ignore that one, that's to do with

-hospitals.

-If it lasts more than 5 minutes,

-call an ambulance like last time.

-The moment it stops, you can put him

-in the recovery position.

-Right, we can go now, can't we?

-We're going to the pharmacy to fetch

-a nasal spray to help his migraine.

-Yes, off we go.

-You can take that off now.

-There's a specific

-type of epilepsy...

-..that occurs in boys

-of Llywelyn's age.

-It happens to boys

-leading up to their teenage years.

-It causes them to have fits

-only when they're waking up.

-We're starting to think that might

-be what Llywelyn has.

-It's nothing to do

-with his headache.

-It's totally unrelated.

-Usually,

-epilepsy is a strange condition.

-A lot of people think

-it's easy to diagnose.

-It isn't. It's quite hard

-and rather complicated.

-There's a test called the EEG.

-We place stickers

-and wires on the brain...

-..to read an electrical signal

-in the brain.

-Sometimes we get a clue from that.

-You'd think that would always

-be abnormal in epileptics...

-..and normal

-if you don't have epilepsy.

-That isn't the case.

-I could have an EEG,

-it could be abnormal...

-..but I've never had

-a fit in my life.

-It's possible for children who fit

-to have normal EEGs.

-In this specific type of epilepsy

-I have in mind...

-..there's a specific change

-in the EEG which would show.

-The EEG could be

-quite useful in this situation.

-We don't usually perform

-an EEG after one fit only.

-But in Llywelyn's case,

-we'll carry it out...

-because the EEG may provide answers.

-The history of headaches

-is unusual too.

-It makes you wonder...

-..if he's had slight fits at night

-that have gone unnoticed.

-It would be explain why

-he'd wake up with a headache.

-It's important for us to

-do a little more for Llywelyn...

-..than we would for another child.

-The good news is he's going home.

-We're going to check his eyes.

-He's had a slight squint for a long

-time and hasn't seen anyone.

-We're going to check his eyes.

-He's getting medicine for migraine.

-He'll have an EEG and he'll see me

-at a clinic in Pwllheli.

-Hopefully, we can gather all the

-results and tell him what happened.

-This gives a good summary

-of the advice I gave you earlier.

-The most important point

-to remember is...

-..if a fit lasts

-longer than five minutes...

-..or if you're concerned,

-call an ambulance.

-The number for the ward is there.

-Are you alright for a lift home?

-Are you alright for a lift home?

-

-We're taking the bus.

-Alright, OK.

-Thank you.

-Nice to meet you.

-Thanks, Llywelyn, goodbye.

-Bye.

-After Llywelyn leaves,

-there's one little man still there.

-The doctor's come back

-and said the results came back...

-..and they're spot on.

-It's a matter of them

-sending us home today.

-Fingers crossed,

-we'll get to go home.

-So only one more night, really.

-CHUCKLING

-Mam's gone home to sort out

-the rest of the children.

-I'm still here.

-Are you alright, mate?

-She's gone to sort out

-your sisters, hasn't she?

-It's us tonight.

-CHUCKLING

-# Golden beaches,

-mountains and hills so fine

-# Where clear streams

-sing between the rushes

-# They can hear us across the county

-# They hear us across borders

-# They can hear us

-on the other side of the world

-# They can hear our bells

-right now #

-Llywelyn's EEG was fine.

-He's waiting

-for an appointment with Dr Mair.

-Dafydd Gwyn hasn't fainted

-since he left the hospital.

-The dent in the wall is fixed.

-Sion is still selling eggs.

-They're 1 a box if you want any!

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