Pennod 4 Ward Plant


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Pennod 4

Tynnu tonsils, tynnu gwaed a thynnu darn o glai o ben draw trwyn. Removing tonsils, taking blood and pulling out some clay stuck up a nose - all in a day's work on the children'...


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-Dewi Ward is never closed.

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-It's open to all

-the children of the area.

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-Some of them have been here

-so often, it's like a second home.

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-Elliw Evans has been

-a regular visitor for years.

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-It started when she was seven.

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-She was at the optician's

-clinic in Dolgellau.

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-They found that

-her eye was weakening.

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-The nerve behind the eye was dying.

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-Elliw was diagnosed with parasitic

-glioma when she was eight.

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-It affects her eye.

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-It affects the hypothalamus too.

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-We went in, immediately.

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-She had the operation on the Monday.

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-It lasted five hours.

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-That was done.

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-Then she had six weeks

-of radiotherapy in Clatterbridge.

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-We went there every day

-for radiotherapy.

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-She has started

-on the growth hormones...

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-..to help her bones and growth.

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-She has come here today

-for the short Synacthen test.

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-The cortisol levels have dropped.

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-It's to make sure she can cope with

-everything going on in her body.

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-Cortisol is one of the most

-important hormones in the body.

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-It dictates

-how blood sugar behaves...

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-..and things like

-metabolism and stress.

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-It affects

-the inflammatory system too.

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-That's what we're doing here...

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-..having those tests.

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-Hopefully, that will be sorted now.

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-Then she'll have

-her teeth done next week.

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-After surgery,

-we don't want her to bleed.

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-Cortisol levels also affects

-the body's inflammatory status.

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-Obviously, it helps

-with any swelling after surgery.

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-Squeeze that. There you are.

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-You're very brave.

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-Squeeze my thumb.

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-OK.

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-So now, I'm going

-to give you the medication.

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-Alright?

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-Now we're flushing...

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-..just a normal saline

-to push the medication in properly.

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-Just a normal saline.

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-Does that feel cold?

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-I'll put a plaster on that.

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-We take the blood seventy minutes

-since the medication was given...

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-..then after sixty minutes.

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-So that tells you how her body

-is reacting to the medication.

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-And we compare the result

-with the blood which was given...

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-..prior to giving medication.

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-So that is not your duty to

-interpret, but the whole principle.

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-Any pain?

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-Alright?

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-The tension is gone now.

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-Calm down. The job is done.

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-Thank you very much. See you later.

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-Thank you very much. See you later.

-

-Want to go back to your room?

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-This is Mr Hill.

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-He's one of Ysbyty Gwynedd's ENT,

-or Ear, Nose And Throat surgeons.

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-Hiya. How are you?

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-William Huw is having

-his tonsils taken out.

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-They've been giving him problems.

-He's missed a lot of school.

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-We came here about a month ago

-to see the consultant.

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-He said they had to come out.

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-So we're back today for that.

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-Is there anything worrying you?

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-You look confident and happy.

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-And I'm happy! I've done this

-operation over a thousand times!

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-I look forward to seeing you

-about 5, the end of the afternoon.

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-OK, great.

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-BACKGROUND CONVERSATION

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-Mel Roberts is a nurse.

-She has looked after many children.

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-This time,

-her daughter has had surgery.

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-Amy was admitted for her tonsils

-and adenoids to be removed...

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-..under the care of Mr Moore,

-the ENT consultant.

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-She went to theatre about 9.00am.

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-It all went absolutely fine.

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-I treated Amy...

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-..because she had

-a lot of problems...

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-..with a blocked nose.

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-She didn't sleep well.

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-Because of that, I took out

-her tonsils and adenoid.

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-Everything went well.

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-After that...

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-..she recovered very well.

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-It was really strange,

-coming in as a mum today...

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-..and being on the other side.

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-But it all went absolutely fine.

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-The doctors took really good

-care of her. Didn't they, Amy?

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-Mr Moore, he looked after you.

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-The pyjamas are special pyjamas that

-have been designed by a charity...

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-..called Wrap Pyjama Fairies.

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-They're a group of people...

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-..volunteers who make pyjamas

-for hospitals all over the UK.

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-They're in the process

-of making 100 pairs...

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-..for Ysbyty Gwynedd,

-for our surgical ward.

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-So Amy's been the first child

-to trial them out today.

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-William Huw is on his way to theatre

-in his Manchester United pyjamas.

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-Everton pyjamas are

-much nicer, you know, William.

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-Well, I think so.

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-Who do we have here?

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-What is your name?

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-William. If I want to wake you in

-a bit, do I shout William, or Will?

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-William.

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-Right. What are you having today?

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-Right. What are you having today?

-

-Having my tonsils taken out.

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-And adenoids, Mam and Dad?

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-And adenoids, Mam and Dad?

-

-Yes.

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-Any loose teeth?

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-Any teeth loose now?

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-No.

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-Are you ready to go?

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-Shall we go to theatre?

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-Shall we go to theatre?

-

-Yes.

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-OK, mate.

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-Is Mam or Dad coming?

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-You go, I'll stay here.

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-Is it Mam?

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-Yes.

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-Will you sign here?

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-A ta-ta kiss now.

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-I'll look after your watch.

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-You'll be alright.

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-Don't worry, Dad will never be far.

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-What time is it?

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-What's your name?

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-What's your name?

-

-Ieuan.

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-Didn't I tell you my name?

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-I don't remember. Maybe.

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-Don't be long.

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-That's it.

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-Do I walk behind you?

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-By the side, if you like.

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-Ta-ra, Dad.

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-We're putting a needle in your hand.

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-This is the anaesthetic room.

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-First, they find a vein.

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-Listen to them, OK?

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-Squeeze.

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-I think they're camera shy.

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-That's it.

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-Small scratch.

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-You're alright. Good boy.

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-Does it hurt?

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-Good boy.

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-A little gas makes William drowsy.

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-He falls sound asleep.

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-You're going to sleep now.

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-See you when you wake up.

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-After a kiss from Mam, off we go.

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-Thank you very much.

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-Thanks.

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-Ta-ra.

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-William is ready

-for Mr Hill's skilful hands.

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-Is this boy called Huw?

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-Is this boy called Huw?

-

-William.

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-William.

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-Do you want to see the tonsils?

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-There were several infections...

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-..more than two or three

-a year, I think.

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-And before William

-can say Manchester United...

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-..the tonsil is out.

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-Here we are, tonsil number one.

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-Now it's time

-to remove the adenoids.

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-We use a mirror to look...

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-..behind the nose and mouth...

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-..with the mirror.

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-It's hard for you

-to see what is happening.

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-I can burn the adenoid

-at the back...

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-..of the nose...

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-..with a small machine.

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-What is the noise?

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-It makes a sound.

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-It burns the adenoid.

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-On the side.

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-William's operation is over.

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-After a rest on Minffordd Ward,

-he can go home.

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-.

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-Subtitles

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-A new day dawns over Ysbyty Gwynedd.

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-Nurse Mel and her daughter are back.

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-Amy had her tonsils and adenoids

-removed yesterday.

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-She hasn't been able to tolerate

-anything to eat or drink.

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-She can't even swallow her own spit.

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-We've had a really long night.

-She's not slept a wink.

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-So I phoned the ENTSHO.

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-Dr Morsy kindly agreed to check her

-over to make sure everything is OK.

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-Did you sleep at all last night?

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-Did you sleep at all last night?

-

-No sleep at all for Amy or I.

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-We were awake all night, weren't we?

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-Elliw is back, too, to have

-the second part of yesterday's test.

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-Elliw injects herself every morning.

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-You don't like injections.

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-She's brave to do that.

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-We give her the hormone...

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-..to see if her body

-can produce enough...

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-..so she can stop the injections.

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-Cross fingers and everything else.

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-And everything else.

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-The hypothalamus is responsible

-for a lot of the body's hormones.

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-It activates

-the production of other hormones...

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-..that are vital for the body.

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-The growth hormone is one.

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-Elliw has had

-synthetic hormone injections...

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-..to enable her to grow.

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-Things develop as children grow.

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-We hope she won't need any more.

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-Hooray!

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-Hello! How are you?

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-Hello! How are you?

-

-Hi, Dr Morsy.

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-Are you OK? Shake hands with me.

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-How are you? What's your name?

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-What's your name?

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-Are you shy?

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-Are you shy?

-

-Yeah, Amy's gone shy.

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-What's wrong with her?

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-Mr Moore did her tonsils

-and adenoids yesterday.

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-She was fine on the ward yesterday,

-eating and drinking fine.

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-Got home, and she's not been able

-to take paracetamol or brufen.

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-She's not able to swallow, drink

-or her own spit.

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-It's been drooling out of her mouth.

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-I phoned the GP surgery

-and they couldn't slot her in.

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-OK. Any temperature?

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-She feels hot.

-I haven't checked her temperature.

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-She has a bit of a smelly breath.

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-It was a tonsillectomy only?

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-And adenoids.

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-That's why she may have a bad smell.

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-Can I have a look at her throat?

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-Can I have a look at her throat?

-

-Of course you can. In the ENT room?

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-Let's go to the special room

-with Mum.

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-OK. Can I have a look?

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-OK.

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-Here we go.

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-We just need to check, don't we?

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-Will you please open your mouth?

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-It makes no difference

-that her mother is a nurse.

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-I hope we have more luck

-with this little boy.

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-Do you like it?

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-Cai has a pain in his leg.

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-He has groin pains.

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-The doctor wants a blood sample.

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-Why is it so itchy?

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-Don't scratch it.

-I'll dry it with a tissue.

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-OK?

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-Are you filming me now?

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-Why were you here before?

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-I don't want to say.

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-My friend Hayden and Nain...

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-..I'm a little bit...

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-..my friend Hayden

-is bigger than me.

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-Is he?

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-He says "What man".

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-It's funny.

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-I'm in the club with him.

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-I told Hayden not to hang out

-with Year 2.

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-I understood you perfectly, Cai.

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-Let's take a blood sample.

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-We can't find a vein in your arm...

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-..because they're hiding.

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-The doctor will prick your finger.

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-She'll put gel on your finger.

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-That goes on first.

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-It's going to be like

-a little mosquito bite.

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-What will I feel?

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-What will I feel?

-

-It's like a pinprick.

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-Be brave!

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-Ow!

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-I want Mam.

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-Not again, please!

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-Not again, please!

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-Please, not again!

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-See it going in?

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-Please not again!

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-Please not again!

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-Here's Mam.

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-You're doing so well.

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-You're doing so well.

-

-Why are you shaking?

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-I need to keep the bottle shaking

-or it will get clotted.

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-What's that?

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-It'll get clotted otherwise.

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-Okey-dokey.

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-That should be fine.

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-Can you see your blood?

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-Okey-dokey.

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-Can you guess what's stuffed up

-this little boy's nose?

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-Hayden put a bit of clay

-up his nose.

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-Yes.

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-We've been to Penrhos Stanley.

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-He has a social communication

-disorder.

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-It stressed him out.

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-We're hoping someone

-will take it out!

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-Don't we, Hayden?

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-Mr Morsy's patients

-haven't been easy today.

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-Perhaps I'm speaking too soon...

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-..but Hayden doesn't seem in a hurry

-to get the clay out of his nose.

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-Ready? One, two.

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-Good boy, well done.

-What have you got here?

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-What's this?

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-Can I have a look?

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-Oh, yeah.

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-OK.

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-Good boy.

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-Can I take it out, please?

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-Give him a big hug, Mam.

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-Serious big hug.

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-It doesn't hurt.

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-Look at Mam.

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-Keep still.

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-It doesn't hurt at all.

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-Are you playing peek-a-boo?

-Will you let him take it out?

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-And I promise you

-that you will feel no pain.

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-Be a good boy.

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-Ready?

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-Close your eyes.

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-Well done, Mam.

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-Big squeeze.

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-HAYDEN CRIES

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-Big squeeze.

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-We'll try one more time.

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-HAYDEN SCREAMS

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-Don't cry.

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-Taking out the piece of clay

-was quite difficult.

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-It was slipping.

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-When I tried to take it out using

-forceps it became disintegrated.

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-In the second trial, I used a hook.

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-I passed the hook behind

-the piece of clay to take it out.

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-I managed to take it out

-on the second trial.

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-It saved him the risk

-of a general anaesthetic.

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-The child went home very happy.

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-His parents were also very happy.

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-Cai has to stay the night. There's

-a crisis in the emergency unit.

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-They'll make a decision

-about the operation tomorrow.

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-It hasn't sunk in.

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-I hope the blood results

-will be alright.

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-I don't want him

-to have another operation.

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-He was in for six weeks last year.

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-It wasn't nice.

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-It wasn't nice, was it?

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-I was in for ages.

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-He broke his femur.

-He was in a traction for six weeks.

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-SPEAKS UNCLEARLY

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-He was fed up.

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-You couldn't get out of bed.

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-SPEAKS UNCLEARLY

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-In bed.

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-Yes.

0:22:000:22:02

-I just watched telly.

0:22:030:22:08

-Amy is on a drip to send paracetamol

-and antibiotics to the blood.

0:22:090:22:14

-Amy and her mother

-will stay the night in hospital.

0:22:150:22:19

-Unfortunately, Elliw still

-injects herself every day.

0:22:300:22:34

-Another success for Mr Hill!

0:22:340:22:36

-William hasn't had

-a sore throat since the operation.

0:22:360:22:40

-Cai didn't need an operation.

0:22:400:22:42

-He went home the following morning.

0:22:420:22:45

-S4C Subtitles by Gwead

0:23:040:23:06

-.

0:23:060:23:06

Tynnu tonsils, tynnu gwaed a thynnu darn o glai o ben draw trwyn. Removing tonsils, taking blood and pulling out some clay stuck up a nose - all in a day's work on the children's ward!