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0:00:22 > 0:00:24- Dewi Ward is never closed.
0:00:26 > 0:00:29- It's open to all - the children of the area.
0:00:31 > 0:00:36- Some of them have been here - so often, it's like a second home.
0:00:36 > 0:00:40- Elliw Evans has been - a regular visitor for years.
0:00:41 > 0:00:43- It started when she was seven.
0:00:43 > 0:00:47- She was at the optician's - clinic in Dolgellau.
0:00:49 > 0:00:53- They found that - her eye was weakening.
0:00:55 > 0:00:58- The nerve behind the eye was dying.
0:00:58 > 0:01:02- Elliw was diagnosed with parasitic - glioma when she was eight.
0:01:03 > 0:01:04- It affects her eye.
0:01:04 > 0:01:07- It affects the hypothalamus too.
0:01:08 > 0:01:10- We went in, immediately.
0:01:10 > 0:01:13- She had the operation on the Monday.
0:01:13 > 0:01:15- It lasted five hours.
0:01:16 > 0:01:18- That was done.
0:01:19 > 0:01:24- Then she had six weeks - of radiotherapy in Clatterbridge.
0:01:25 > 0:01:29- We went there every day - for radiotherapy.
0:01:30 > 0:01:33- She has started - on the growth hormones...
0:01:33 > 0:01:36- ..to help her bones and growth.
0:01:37 > 0:01:41- She has come here today - for the short Synacthen test.
0:01:42 > 0:01:44- The cortisol levels have dropped.
0:01:46 > 0:01:51- It's to make sure she can cope with - everything going on in her body.
0:01:52 > 0:01:57- Cortisol is one of the most - important hormones in the body.
0:01:57 > 0:02:01- It dictates - how blood sugar behaves...
0:02:02 > 0:02:05- ..and things like - metabolism and stress.
0:02:06 > 0:02:10- It affects - the inflammatory system too.
0:02:12 > 0:02:14- That's what we're doing here...
0:02:14 > 0:02:16- ..having those tests.
0:02:17 > 0:02:19- Hopefully, that will be sorted now.
0:02:19 > 0:02:23- Then she'll have - her teeth done next week.
0:02:24 > 0:02:27- After surgery, - we don't want her to bleed.
0:02:27 > 0:02:32- Cortisol levels also affects - the body's inflammatory status.
0:02:34 > 0:02:38- Obviously, it helps - with any swelling after surgery.
0:02:39 > 0:02:41- Squeeze that. There you are.
0:02:42 > 0:02:44- You're very brave.
0:02:46 > 0:02:47- Squeeze my thumb.
0:02:47 > 0:02:48- OK.
0:02:49 > 0:02:52- So now, I'm going - to give you the medication.
0:02:53 > 0:02:54- Alright?
0:02:57 > 0:02:59- Now we're flushing...
0:02:59 > 0:03:03- ..just a normal saline - to push the medication in properly.
0:03:05 > 0:03:07- Just a normal saline.
0:03:08 > 0:03:10- Does that feel cold?
0:03:11 > 0:03:13- I'll put a plaster on that.
0:03:14 > 0:03:19- We take the blood seventy minutes - since the medication was given...
0:03:19 > 0:03:21- ..then after sixty minutes.
0:03:21 > 0:03:25- So that tells you how her body - is reacting to the medication.
0:03:26 > 0:03:30- And we compare the result - with the blood which was given...
0:03:31 > 0:03:33- ..prior to giving medication.
0:03:33 > 0:03:37- So that is not your duty to - interpret, but the whole principle.
0:03:38 > 0:03:39- Any pain?
0:03:40 > 0:03:41- Alright?
0:03:41 > 0:03:43- The tension is gone now.
0:03:44 > 0:03:46- Calm down. The job is done.
0:03:46 > 0:03:47- Thank you very much. See you later.
0:03:47 > 0:03:49- Thank you very much. See you later.- - Want to go back to your room?
0:03:50 > 0:03:52- This is Mr Hill.
0:03:52 > 0:03:57- He's one of Ysbyty Gwynedd's ENT, - or Ear, Nose And Throat surgeons.
0:04:01 > 0:04:03- Hiya. How are you?
0:04:04 > 0:04:07- William Huw is having - his tonsils taken out.
0:04:07 > 0:04:12- They've been giving him problems. - He's missed a lot of school.
0:04:12 > 0:04:17- We came here about a month ago - to see the consultant.
0:04:18 > 0:04:20- He said they had to come out.
0:04:20 > 0:04:23- So we're back today for that.
0:04:23 > 0:04:26- Is there anything worrying you?
0:04:26 > 0:04:28- You look confident and happy.
0:04:29 > 0:04:34- And I'm happy! I've done this - operation over a thousand times!
0:04:37 > 0:04:41- I look forward to seeing you - about 5, the end of the afternoon.
0:04:42 > 0:04:43- OK, great.
0:04:44 > 0:04:46- BACKGROUND CONVERSATION
0:04:53 > 0:04:58- Mel Roberts is a nurse. - She has looked after many children.
0:04:58 > 0:05:01- This time, - her daughter has had surgery.
0:05:01 > 0:05:06- Amy was admitted for her tonsils - and adenoids to be removed...
0:05:06 > 0:05:10- ..under the care of Mr Moore, - the ENT consultant.
0:05:10 > 0:05:13- She went to theatre about 9.00am.
0:05:13 > 0:05:15- It all went absolutely fine.
0:05:16 > 0:05:18- I treated Amy...
0:05:19 > 0:05:22- ..because she had - a lot of problems...
0:05:23 > 0:05:26- ..with a blocked nose.
0:05:29 > 0:05:32- She didn't sleep well.
0:05:33 > 0:05:38- Because of that, I took out - her tonsils and adenoid.
0:05:40 > 0:05:42- Everything went well.
0:05:43 > 0:05:44- After that...
0:05:46 > 0:05:48- ..she recovered very well.
0:05:49 > 0:05:52- It was really strange, - coming in as a mum today...
0:05:53 > 0:05:55- ..and being on the other side.
0:05:55 > 0:05:57- But it all went absolutely fine.
0:05:57 > 0:06:02- The doctors took really good - care of her. Didn't they, Amy?
0:06:02 > 0:06:04- Mr Moore, he looked after you.
0:06:04 > 0:06:10- The pyjamas are special pyjamas that - have been designed by a charity...
0:06:10 > 0:06:12- ..called Wrap Pyjama Fairies.
0:06:12 > 0:06:14- They're a group of people...
0:06:14 > 0:06:19- ..volunteers who make pyjamas - for hospitals all over the UK.
0:06:20 > 0:06:23- They're in the process - of making 100 pairs...
0:06:23 > 0:06:26- ..for Ysbyty Gwynedd, - for our surgical ward.
0:06:26 > 0:06:30- So Amy's been the first child - to trial them out today.
0:06:31 > 0:06:36- William Huw is on his way to theatre - in his Manchester United pyjamas.
0:06:37 > 0:06:41- Everton pyjamas are - much nicer, you know, William.
0:06:41 > 0:06:42- Well, I think so.
0:06:47 > 0:06:49- Who do we have here?
0:06:49 > 0:06:50- What is your name?
0:06:50 > 0:06:55- William. If I want to wake you in - a bit, do I shout William, or Will?
0:06:55 > 0:06:56- William.
0:06:57 > 0:06:59- Right. What are you having today?
0:06:59 > 0:07:01- Right. What are you having today?- - Having my tonsils taken out.
0:07:01 > 0:07:03- And adenoids, Mam and Dad?
0:07:03 > 0:07:04- And adenoids, Mam and Dad?- - Yes.
0:07:07 > 0:07:09- Any loose teeth?
0:07:09 > 0:07:11- Any teeth loose now?
0:07:12 > 0:07:13- No.
0:07:14 > 0:07:16- Are you ready to go?
0:07:16 > 0:07:17- Shall we go to theatre?
0:07:17 > 0:07:18- Shall we go to theatre?- - Yes.
0:07:18 > 0:07:20- OK, mate.
0:07:20 > 0:07:22- Is Mam or Dad coming?
0:07:23 > 0:07:25- You go, I'll stay here.
0:07:25 > 0:07:27- Is it Mam?
0:07:27 > 0:07:28- Yes.
0:07:28 > 0:07:30- Will you sign here?
0:07:30 > 0:07:31- A ta-ta kiss now.
0:07:33 > 0:07:35- I'll look after your watch.
0:07:39 > 0:07:40- You'll be alright.
0:07:44 > 0:07:46- Don't worry, Dad will never be far.
0:07:47 > 0:07:49- What time is it?
0:07:49 > 0:07:50- What's your name?
0:07:50 > 0:07:51- What's your name?- - Ieuan.
0:07:53 > 0:07:55- Didn't I tell you my name?
0:07:55 > 0:07:57- I don't remember. Maybe.
0:08:00 > 0:08:01- Don't be long.
0:08:04 > 0:08:05- That's it.
0:08:05 > 0:08:07- Do I walk behind you?
0:08:07 > 0:08:09- By the side, if you like.
0:08:09 > 0:08:11- Ta-ra, Dad.
0:08:18 > 0:08:21- We're putting a needle in your hand.
0:08:23 > 0:08:25- This is the anaesthetic room.
0:08:27 > 0:08:29- First, they find a vein.
0:08:29 > 0:08:31- Listen to them, OK?
0:08:31 > 0:08:33- Squeeze.
0:08:36 > 0:08:38- I think they're camera shy.
0:08:38 > 0:08:39- That's it.
0:08:40 > 0:08:41- Small scratch.
0:08:41 > 0:08:43- You're alright. Good boy.
0:08:43 > 0:08:45- Does it hurt?
0:08:45 > 0:08:46- Good boy.
0:08:49 > 0:08:52- A little gas makes William drowsy.
0:08:56 > 0:08:58- He falls sound asleep.
0:09:02 > 0:09:04- You're going to sleep now.
0:09:05 > 0:09:07- See you when you wake up.
0:09:09 > 0:09:11- After a kiss from Mam, off we go.
0:09:11 > 0:09:13- Thank you very much.
0:09:13 > 0:09:14- Thanks.
0:09:14 > 0:09:15- Ta-ra.
0:09:19 > 0:09:23- William is ready - for Mr Hill's skilful hands.
0:09:33 > 0:09:34- Is this boy called Huw?
0:09:34 > 0:09:35- Is this boy called Huw?- - William.
0:09:35 > 0:09:36- William.
0:09:42 > 0:09:44- Do you want to see the tonsils?
0:09:44 > 0:09:47- There were several infections...
0:09:47 > 0:09:50- ..more than two or three - a year, I think.
0:10:01 > 0:10:05- And before William - can say Manchester United...
0:10:05 > 0:10:07- ..the tonsil is out.
0:10:08 > 0:10:10- Here we are, tonsil number one.
0:10:13 > 0:10:16- Now it's time - to remove the adenoids.
0:10:18 > 0:10:20- We use a mirror to look...
0:10:22 > 0:10:24- ..behind the nose and mouth...
0:10:26 > 0:10:28- ..with the mirror.
0:10:28 > 0:10:32- It's hard for you - to see what is happening.
0:10:32 > 0:10:36- I can burn the adenoid - at the back...
0:10:40 > 0:10:42- ..of the nose...
0:10:43 > 0:10:45- ..with a small machine.
0:10:45 > 0:10:47- What is the noise?
0:10:47 > 0:10:48- It makes a sound.
0:10:49 > 0:10:51- It burns the adenoid.
0:10:54 > 0:10:56- On the side.
0:11:05 > 0:11:08- William's operation is over.
0:11:09 > 0:11:12- After a rest on Minffordd Ward, - he can go home.
0:11:18 > 0:11:18- .
0:11:23 > 0:11:23- Subtitles
0:11:23 > 0:11:25- Subtitles- - Subtitles
0:11:26 > 0:11:29- A new day dawns over Ysbyty Gwynedd.
0:11:30 > 0:11:33- Nurse Mel and her daughter are back.
0:11:34 > 0:11:38- Amy had her tonsils and adenoids - removed yesterday.
0:11:38 > 0:11:42- She hasn't been able to tolerate - anything to eat or drink.
0:11:43 > 0:11:45- She can't even swallow her own spit.
0:11:45 > 0:11:49- We've had a really long night. - She's not slept a wink.
0:11:49 > 0:11:52- So I phoned the ENTSHO.
0:11:52 > 0:11:57- Dr Morsy kindly agreed to check her - over to make sure everything is OK.
0:11:58 > 0:12:00- Did you sleep at all last night?
0:12:00 > 0:12:02- Did you sleep at all last night?- - No sleep at all for Amy or I.
0:12:03 > 0:12:06- We were awake all night, weren't we?
0:12:06 > 0:12:11- Elliw is back, too, to have - the second part of yesterday's test.
0:12:15 > 0:12:18- Elliw injects herself every morning.
0:12:18 > 0:12:21- You don't like injections.
0:12:21 > 0:12:23- She's brave to do that.
0:12:24 > 0:12:27- We give her the hormone...
0:12:28 > 0:12:31- ..to see if her body - can produce enough...
0:12:31 > 0:12:34- ..so she can stop the injections.
0:12:35 > 0:12:37- Cross fingers and everything else.
0:12:38 > 0:12:39- And everything else.
0:12:40 > 0:12:46- The hypothalamus is responsible - for a lot of the body's hormones.
0:12:47 > 0:12:53- It activates - the production of other hormones...
0:12:53 > 0:12:56- ..that are vital for the body.
0:12:57 > 0:12:59- The growth hormone is one.
0:13:01 > 0:13:05- Elliw has had - synthetic hormone injections...
0:13:05 > 0:13:07- ..to enable her to grow.
0:13:08 > 0:13:10- Things develop as children grow.
0:13:13 > 0:13:16- We hope she won't need any more.
0:13:17 > 0:13:18- Hooray!
0:13:21 > 0:13:22- Hello! How are you?
0:13:22 > 0:13:23- Hello! How are you?- - Hi, Dr Morsy.
0:13:24 > 0:13:26- Are you OK? Shake hands with me.
0:13:27 > 0:13:30- How are you? What's your name?
0:13:30 > 0:13:31- What's your name?
0:13:31 > 0:13:33- Are you shy?
0:13:33 > 0:13:35- Are you shy?- - Yeah, Amy's gone shy.
0:13:35 > 0:13:37- What's wrong with her?
0:13:37 > 0:13:40- Mr Moore did her tonsils - and adenoids yesterday.
0:13:41 > 0:13:45- She was fine on the ward yesterday, - eating and drinking fine.
0:13:45 > 0:13:50- Got home, and she's not been able - to take paracetamol or brufen.
0:13:50 > 0:13:54- She's not able to swallow, drink - or her own spit.
0:13:54 > 0:13:56- It's been drooling out of her mouth.
0:13:57 > 0:14:00- I phoned the GP surgery - and they couldn't slot her in.
0:14:01 > 0:14:02- OK. Any temperature?
0:14:03 > 0:14:06- She feels hot. - I haven't checked her temperature.
0:14:06 > 0:14:08- She has a bit of a smelly breath.
0:14:09 > 0:14:11- It was a tonsillectomy only?
0:14:11 > 0:14:13- And adenoids.
0:14:14 > 0:14:16- That's why she may have a bad smell.
0:14:17 > 0:14:19- Can I have a look at her throat?
0:14:19 > 0:14:22- Can I have a look at her throat?- - Of course you can. In the ENT room?
0:14:23 > 0:14:26- Let's go to the special room - with Mum.
0:14:31 > 0:14:34- OK. Can I have a look?
0:14:37 > 0:14:38- OK.
0:14:41 > 0:14:42- Here we go.
0:14:43 > 0:14:45- We just need to check, don't we?
0:14:45 > 0:14:48- Will you please open your mouth?
0:14:51 > 0:14:56- It makes no difference - that her mother is a nurse.
0:15:08 > 0:15:11- I hope we have more luck - with this little boy.
0:15:16 > 0:15:19- Do you like it?
0:15:21 > 0:15:24- Cai has a pain in his leg.
0:15:25 > 0:15:28- He has groin pains.
0:15:28 > 0:15:33- The doctor wants a blood sample.
0:15:37 > 0:15:39- Why is it so itchy?
0:15:40 > 0:15:43- Don't scratch it. - I'll dry it with a tissue.
0:15:44 > 0:15:46- OK?
0:15:47 > 0:15:49- Are you filming me now?
0:15:52 > 0:15:54- Why were you here before?
0:15:55 > 0:15:57- I don't want to say.
0:15:58 > 0:16:01- My friend Hayden and Nain...
0:16:01 > 0:16:03- ..I'm a little bit...
0:16:04 > 0:16:08- ..my friend Hayden - is bigger than me.
0:16:08 > 0:16:10- Is he?
0:16:10 > 0:16:12- He says "What man".
0:16:12 > 0:16:15- It's funny.
0:16:15 > 0:16:19- I'm in the club with him.
0:16:25 > 0:16:29- I told Hayden not to hang out - with Year 2.
0:16:30 > 0:16:32- I understood you perfectly, Cai.
0:16:33 > 0:16:35- Let's take a blood sample.
0:16:36 > 0:16:40- We can't find a vein in your arm...
0:16:41 > 0:16:43- ..because they're hiding.
0:16:44 > 0:16:48- The doctor will prick your finger.
0:16:48 > 0:16:53- She'll put gel on your finger.
0:16:56 > 0:16:58- That goes on first.
0:17:01 > 0:17:05- It's going to be like - a little mosquito bite.
0:17:05 > 0:17:06- What will I feel?
0:17:06 > 0:17:09- What will I feel?- - It's like a pinprick.
0:17:09 > 0:17:10- Be brave!
0:17:10 > 0:17:11- Ow!
0:17:13 > 0:17:15- I want Mam.
0:17:16 > 0:17:18- Not again, please!
0:17:19 > 0:17:20- Not again, please!
0:17:21 > 0:17:22- Please, not again!
0:17:23 > 0:17:26- See it going in?
0:17:28 > 0:17:29- Please not again!
0:17:30 > 0:17:33- Please not again!
0:17:33 > 0:17:35- Here's Mam.
0:17:36 > 0:17:38- You're doing so well.
0:17:38 > 0:17:39- You're doing so well.- - Why are you shaking?
0:17:39 > 0:17:44- I need to keep the bottle shaking - or it will get clotted.
0:17:45 > 0:17:46- What's that?
0:17:46 > 0:17:49- It'll get clotted otherwise.
0:17:52 > 0:17:53- Okey-dokey.
0:17:55 > 0:17:56- That should be fine.
0:17:57 > 0:17:59- Can you see your blood?
0:18:00 > 0:18:02- Okey-dokey.
0:18:09 > 0:18:14- Can you guess what's stuffed up - this little boy's nose?
0:18:22 > 0:18:25- Hayden put a bit of clay - up his nose.
0:18:26 > 0:18:27- Yes.
0:18:28 > 0:18:30- We've been to Penrhos Stanley.
0:18:30 > 0:18:33- He has a social communication - disorder.
0:18:34 > 0:18:36- It stressed him out.
0:18:38 > 0:18:42- We're hoping someone - will take it out!
0:18:44 > 0:18:46- Don't we, Hayden?
0:18:50 > 0:18:54- Mr Morsy's patients - haven't been easy today.
0:18:55 > 0:18:57- Perhaps I'm speaking too soon...
0:18:58 > 0:19:03- ..but Hayden doesn't seem in a hurry - to get the clay out of his nose.
0:19:05 > 0:19:08- Ready? One, two.
0:19:09 > 0:19:12- Good boy, well done. - What have you got here?
0:19:13 > 0:19:16- What's this?
0:19:16 > 0:19:18- Can I have a look?
0:19:19 > 0:19:21- Oh, yeah.
0:19:22 > 0:19:24- OK.
0:19:24 > 0:19:25- Good boy.
0:19:26 > 0:19:29- Can I take it out, please?
0:19:29 > 0:19:32- Give him a big hug, Mam.
0:19:33 > 0:19:35- Serious big hug.
0:19:35 > 0:19:38- It doesn't hurt.
0:19:38 > 0:19:40- Look at Mam.
0:19:41 > 0:19:43- Keep still.
0:19:43 > 0:19:45- It doesn't hurt at all.
0:19:46 > 0:19:50- Are you playing peek-a-boo? - Will you let him take it out?
0:19:52 > 0:19:55- And I promise you - that you will feel no pain.
0:19:57 > 0:19:59- Be a good boy.
0:20:00 > 0:20:02- Ready?
0:20:02 > 0:20:04- Close your eyes.
0:20:04 > 0:20:06- Well done, Mam.
0:20:07 > 0:20:09- Big squeeze.
0:20:09 > 0:20:11- HAYDEN CRIES
0:20:13 > 0:20:15- Big squeeze.
0:20:16 > 0:20:18- We'll try one more time.
0:20:19 > 0:20:22- HAYDEN SCREAMS
0:20:23 > 0:20:26- Don't cry.
0:20:27 > 0:20:31- Taking out the piece of clay - was quite difficult.
0:20:31 > 0:20:33- It was slipping.
0:20:34 > 0:20:38- When I tried to take it out using - forceps it became disintegrated.
0:20:39 > 0:20:42- In the second trial, I used a hook.
0:20:42 > 0:20:46- I passed the hook behind - the piece of clay to take it out.
0:20:47 > 0:20:50- I managed to take it out - on the second trial.
0:20:51 > 0:20:55- It saved him the risk - of a general anaesthetic.
0:20:55 > 0:20:57- The child went home very happy.
0:20:58 > 0:21:00- His parents were also very happy.
0:21:08 > 0:21:12- Cai has to stay the night. There's - a crisis in the emergency unit.
0:21:12 > 0:21:16- They'll make a decision - about the operation tomorrow.
0:21:17 > 0:21:19- It hasn't sunk in.
0:21:20 > 0:21:23- I hope the blood results - will be alright.
0:21:24 > 0:21:27- I don't want him - to have another operation.
0:21:27 > 0:21:29- He was in for six weeks last year.
0:21:30 > 0:21:33- It wasn't nice.
0:21:34 > 0:21:36- It wasn't nice, was it?
0:21:36 > 0:21:38- I was in for ages.
0:21:38 > 0:21:43- He broke his femur. - He was in a traction for six weeks.
0:21:43 > 0:21:47- SPEAKS UNCLEARLY
0:21:48 > 0:21:51- He was fed up.
0:21:52 > 0:21:55- You couldn't get out of bed.
0:21:56 > 0:21:58- SPEAKS UNCLEARLY
0:21:59 > 0:22:00- In bed.
0:22:00 > 0:22:02- Yes.
0:22:03 > 0:22:08- I just watched telly.
0:22:09 > 0:22:14- Amy is on a drip to send paracetamol - and antibiotics to the blood.
0:22:15 > 0:22:19- Amy and her mother - will stay the night in hospital.
0:22:30 > 0:22:34- Unfortunately, Elliw still - injects herself every day.
0:22:34 > 0:22:36- Another success for Mr Hill!
0:22:36 > 0:22:40- William hasn't had - a sore throat since the operation.
0:22:40 > 0:22:42- Cai didn't need an operation.
0:22:42 > 0:22:45- He went home the following morning.
0:23:04 > 0:23:06- S4C Subtitles by Gwead
0:23:06 > 0:23:06- .