Pennod 2 Ward Plant


Pennod 2

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-The children's ward

-doors never close.

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-Most little ones decide to be

-ill in the night or very early...

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-..like Ioan Dafydd from Penisarwaun.

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-Hi. I've met you before, haven't I?

-Is that for me?

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-Do you want to share?

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-This morning, he woke up with

-a very gunky eye on the left side.

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-Some eyelashes were

-inverted, under the eyelid.

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-I pulled them out

-and cleaned the gunk off.

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-My husband took him to the GP. It

-looked like he'd scratched the eye.

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-I went to work and got a phone call

-telling me he was here.

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-Only since this morning?

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-Yes, he went to bed fine.

-It happened overnight.

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-The doctor thought there might be an

-infection in the skin round the eye.

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-See you later.

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-Say ta-ta.

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-Ta-ta.

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-Bye!

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-Bye-bye.

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-Thank you.

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-They're going

-to give him antibiotics.

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-Hopefully, that will settle things.

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-But if not, he'll need

-intravenous antibiotics.

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-But first, they want

-the eye specialist's opinion.

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-There's a possibility

-he's scratched the front of his eye.

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-He might need

-further treatment for that.

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-We'll see.

-We're waiting for the specialist.

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-Aren't we?

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-Usually, on Dewi Ward,

-the nurse in dark blue is the boss.

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-But not today.

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-The boss is wearing purple.

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-Jo Hewitt is in the final year

-of her nursing degree course.

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-You have a lot

-of responsibility today.

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-Yes, a bit.

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-I had a taster on Friday.

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-Yes, it went fab. Brilliant.

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-What do you have to do in addition

-to your usual work as a nurse?

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-I have to make sure

-the ward runs smoothly...

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-..and everyone knows what to do.

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-I have to know what everyone is

-doing and the children's condition.

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-How long have you been

-in charge today?

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-Er...

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-..an hour.

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-How are they doing?

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-Not bad at the moment. They're OK!

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-In Minffordd Ward,

-this is Ted Goodwin from Llanfaelog.

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-Why have you come to hospital?

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-Because one tonsil is bigger...

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-..than the other one.

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-Can I see?

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-I can't see. Say Ah!

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-Aah!

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-Is the bigger one

-on this or that side?

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-I think this side.

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-There.

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-And who is this?

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-Mam.

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-Does Mam speak Welsh?

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-No.

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-A bit! I'm learning Welsh.

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-From a mother learning Welsh

-to Doctor Elsayed...

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-..who is also learning Welsh.

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-This could be interesting.

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-IN WELSH

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-Hi. How are you today?

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-I think I have seen

-Edward in the clinic.

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-I think he has lots of tonsillitis,

-six attacks in the last 12 months.

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-He is snoring at night.

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-We are going to take

-his tonsils and adenoids out.

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-We'll send the right tonsil,

-which is bigger...

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-..for examination,

-just to exclude any problem.

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-IN WELSH

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-Where do you live?

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-Llanfaelog.

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-How many minutes driving

-from home to the hospital?

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-About 25 minutes.

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-OK.

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-IN WELSH

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-He can...

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-..go home today, this afternoon.

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-He will be fine.

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-It's a straightforward operation...

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-..like ten minutes.

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-He will be fine,

-he will just need to...

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-..have food and drink...

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-..and then will be fine.

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-Thank you very much.

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-Thank you very much.

-

-Thank you.

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-Uniform checks?

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-Yes, then just go through this.

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-It's the daily checklist,

-to see everything has been done.

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-What is an uniform check?

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-To see if everyone

-is wearing the correct uniform.

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-What if they're not?

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-Instant sack!

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-It's noted!

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-Don't sack anyone this morning.

-We're too busy.

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-This is Elliw.

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-She is having grommets

-and an adenoidectomy.

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-What is the problem?

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-Before she started school

-and started to speak...

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-..we noticed she might

-have trouble hearing.

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-She had tests and we had to wait

-a bit to see what was going on.

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-The tests showed she had glue ear.

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-After that,

-there were other symptoms.

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-She wakes a lot at night and snores.

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-She has asthma too,

-which probably doesn't help.

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-She often has colds

-and a blocked nose.

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-We hope the problem will be sorted.

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-You don't hear Mam at all?

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-Do you hear Mam

-telling you to go to bed?

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-Do you hear Mam telling you

-there's money to buy sweets?

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-Do you hear Mam telling you off?

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-You don't want to hear that!

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-This gentleman

-should be on his honeymoon.

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-And the baby should be

-with his grandmother.

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-But it didn't work out like that.

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-Liam's leg has swollen.

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-No-one is sure why.

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-They haven't done a scan of the hip.

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-The leg temperature is down.

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-The knee looks much better.

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-He's looking well at the moment.

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-Hopefully, he can go home soon.

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-But they have to X-ray the hips...

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-..just to confirm

-there are no other problems.

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-He looks like his grandfather!

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-I'm not sure.

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-He's better looking than me.

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-He slept very well last night...

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-..and he's eaten well.

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-He's making up for what he missed.

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-Have you asked Taid for a holiday to

-make up for missing the honeymoon?

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-No!

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-We're going to take

-the family abroad.

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-We're taking everyone to Florida.

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-That's in five years!

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-Well...

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-Liam got the last bed on Dewi Ward.

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-Jo has to go back to

-the whiteboard and rearrange things.

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-Who's there?

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-Ioan.

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-This will have to be Minffordd.

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-We're not full, then.

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-But we are now.

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-You are, with Minffordd Ward.

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-You are, with Minffordd Ward.

-

-Yes, but they can go there.

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-Yes. Ioan can go there.

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-Then Minffordd's can come.

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-Ioan can go here.

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-What is he?

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-Ophthalmology.

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-Nerys Pritchard, manager of

-the Ysbyty Gwynedd children team...

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-..explains the system

-to the new manager.

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-This is our ward status board.

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-You have to think of the situation

-when the ward is full.

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-You could be closed or on the verge

-of closing, so you follow this.

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-In the event of closure,

-you must phone the bed manager.

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-Have you done that?

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-Have you done that?

-

-Yes.

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-Send the details

-to the senior management.

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-Tell me and I'll email

-and escalate them.

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-So if you close, phone neighbouring

-Paeds in Wrexham and Glan Clwyd.

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-Consultant on call,

-you escalate him to Registrar.

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-The Registrar lets

-the Consultant on call know.

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-If you only have the Reg, he or she

-can do an emergency ward round.

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-If the Reg is busy

-with a sick patient...

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-..the Consultant on call could come

-in and do the emergency ward round.

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-You have to let these know.

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-I'd phone ED now and say,

-"I don't have many beds now.

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-"We haven't closed, but heads up.

-We're tight."

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-I don't like the word "closed",

-I like "tight".

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-If we really have closed,

-there's an email there.

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-The email details are here.

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-You have to email them

-and explain who you are...

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-..how many beds are closed, what the

-situation is for the coming hours.

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-Phone them every moment you can.

-Things change.

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-OK.

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-I'll phone ED now.

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-Do I phone Wrexham

-and Glan Clwyd now?

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-Only if you have really closed.

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-But you haven't yet.

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-We don't have any beds left.

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-We don't have any beds left.

-

-Not yet.

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-What we do

-is the Consultant on call.

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-To ask if they can do

-an emergency ward round.

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-If the Reg is free, she'll do it.

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-If the Reg is free, she'll do it.

-

-OK.

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-I'll talk to Helen and phone ED.

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-Lovely. Thanks.

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-Hello. I'm calling

-from Dewi Ward, the children's ward.

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-It's really tight at the moment.

-I wanted to let you know.

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-OK?

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-OK, lovely. Ta-ra.

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-That's one person I've told.

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-I don't even need to tell you

-that we're nearly closed.

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-I have to tell you again.

-We're nearly closed.

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-Is it something

-about an emergency ward round?

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-We're just about to have a handover.

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-I'll come and have a quick look,

-but there's nothing else.

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-Will you do me a favour

-to free a bed, Helen?

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-For you, Tracey, anything.

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-Dr Helen has good news

-for one child.

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-We're going home.

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-He has had antibiotics to take home.

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-We're coming back at 9.30am

-tomorrow to see the doctor.

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-Then we'll see

-the eye specialists...

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-..to see if they're happy or not.

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-We'll be back here.

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-If everyone is happy,

-he'll be on antibiotics for a week.

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-If they're not happy, we'll stay in

-and he'll have it intravenously.

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-Cross fingers, isn't it, Ioan?

-We're going now.

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-Ta-ta.

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-Ta-ta.

-

-Ta-ra.

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-.

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-Subtitles

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-Subtitles

-

-Subtitles

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-I thought this was

-a children's ward...

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-..not the location

-of a Dr Who adventure.

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-What are these, Daleks?

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-The machine cleans the cubicle.

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-There have been bugs in there.

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-It needs to be cleaned

-more intensely than usual.

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-It cleans the air, surfaces

-and everything inside.

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-I haven't seen the machine before.

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-I haven't seen the machine before.

-

-We don't use them often.

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-We have a traffic light system.

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-Once we've identified

-what bug was in the room...

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-..we know how to tackle

-cleaning the cubicle.

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-For how long

-will the room be closed?

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-A couple of hours. It can be used

-as soon as the machine finishes.

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-Elliw is still waiting

-for an operation.

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-This is a fun way to fill the time.

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-Ted's big moment has arrived.

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-He has an appointment

-with Dr Elsayed.

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-How is it going, Mr Elsayed?

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-Fine, thanks.

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-You're washing your hands.

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-Yes. We need to scrub

-for the operation.

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-Although it is not completely

-sterile...

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-..we still need to be sterile

-for adenoids and tonsils.

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-And so...

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-..my operation starts now...

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-..in five minutes.

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-Hurry, Ted. You only have

-five minutes to get there!

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-Not always, but usually both tonsils

-increase in size at the same time.

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-If one is growing more

-than the other one...

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-..we suspect it might be a cancer,

-or something like this.

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-It is not common in children.

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-This is not the only cause

-for surgery.

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-There is also up to six attacks

-of sore throats...

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-..a year.

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-Six attacks of tonsillitis

-in one year is a good indication.

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-We get two benefits...

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-..take the tonsils out

-so we won't have any sore throat...

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-..and at the same time, we send

-the contents for examination...

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-..to make sure there is

-no cancer or anything wrong.

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-Can I start? Safe?

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-And that's the big, ugly tonsil.

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-It'll go straight to the laboratory.

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-Next, please.

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-Have you got shoes or slippers?

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-Elliw Roberts from Cwm Coryn?

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-Lovely. Do you want to wear

-slippers? Then we'll walk up.

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-If everyone was as happy

-as Elliw going to theatre...

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-..it would be so much easier.

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-The first grommet.

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-And the second grommet.

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-The tonsils. Next.

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-While Elliw comes round,

-Ted is back.

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-Mam can have a ride, too.

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-The first one?

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-The first one?

-

-This one.

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-Back on Dewi Ward,

-legs are under the microscope.

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-This little boy has pain

-in his legs.

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-Josh has had pain in his legs

-for the last few months.

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-Six months ago...

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-..he couldn't walk.

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-The same thing happened again

-this morning.

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-We're waiting for the blood results

-to see what's going on.

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-What happened this morning?

-Did you call an ambulance?

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-We got up and Josh's legs

-gave under him at breakfast.

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-He had no sensation in his legs.

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-I drove him straight to hospital...

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-..and explained what happened.

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-They took a blood sample.

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-We're still waiting for the results.

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-Can you move your legs now?

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-Can you move your legs now?

-

-Yes.

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-How did it feel

-when you couldn't move your legs?

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-They didn't work at all for you.

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-No.

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-Were your arms working?

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-Were your arms working?

-

-Yes.

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-Was your mouth working?

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-Was your mouth working?

-

-Yes.

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-What is Josh usually like?

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-He likes to play football,

-he's on the go, doesn't stop.

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-Very hyperactive.

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-Full of life.

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-This is a shock, from

-being hyperactive to no movement.

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-Shocking and scary.

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-Elliw is back.

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-But the smile

-has disappeared for now.

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-Elliw lives half an hour

-from the hospital.

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-She and her mother

-will stay overnight.

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-It's an extra headache

-for manager Jo.

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-We are full now.

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-We've reserved three beds...

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-..for children from Minffordd Ward

-who have had an operation.

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-The staff over there can come here.

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-We're full.

-I need to let Tracey know.

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-She'll have to tell the site

-managers that we've closed...

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-..so A&E don't send anyone else up.

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-Elliw will spend

-the night on Dewi Ward.

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-She can have a nap after breakfast.

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-Are you going to eat?

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-You've eaten loads of chocolate,

-but nothing else.

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-Eat a little.

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-No?

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-Do you want to go home

-or do you want to stay here?

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-I want to go home.

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-You have to eat something, Elliw.

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-How about a piece of toast?

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-Eat the first one.

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-There you are.

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-Will that bring the smile back?

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-Nice?

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-You've had something to eat now.

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-Jo's busy day is almost over.

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-It was quiet this morning.

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-But it's been a hectic day.

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-I've learnt a lot.

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-It's nice to have an insight...

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-..into what the nurse in charge

-has to go through...

0:22:060:22:11

-..especially on a busy day.

0:22:110:22:13

-I can appreciate

-what they have to do.

0:22:140:22:17

-I'm ready to go home now,

-after a really, really busy day!

0:22:170:22:22

-Yes!

0:22:220:22:23

-Ioan's eye has cleared and

-he didn't have to see a specialist.

0:22:340:22:38

-There was no problem

-with Ted's large tonsil.

0:22:390:22:43

-Elliw can hear her mother

-after her operation.

0:22:430:22:48

-The Daleks are still looking

-for Doctor Who!

0:22:480:22:52

-S4C Subtitles by Gwead

0:23:080:23:10

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0:23:100:23:10

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