Pennod 5

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0:00:23 > 0:00:27- It's 8.00am and breakfast time - on Dewi Ward.

0:00:28 > 0:00:32- One little boy has waited hours - for breakfast.

0:00:33 > 0:00:37- Hello. Are you alright? - Here are crispies for him.

0:00:37 > 0:00:38- Thanks.

0:00:38 > 0:00:39- Thanks.- - OK?

0:00:40 > 0:00:42- Alright? What's that, jam?

0:00:43 > 0:00:44- Yes, jam.

0:00:44 > 0:00:48- We've had a very long night, - to be honest.

0:00:48 > 0:00:51- We haven't been in bed at all.

0:00:52 > 0:00:54- It started with Hari Morris.

0:00:54 > 0:00:58- He wanted to cry, - but wasn't quite able to.

0:00:58 > 0:01:02- He couldn't catch - his breath at all, with croup.

0:01:02 > 0:01:04- He coughs quite badly.

0:01:04 > 0:01:08- Because I'm feeding Huw, - who is a month old...

0:01:08 > 0:01:10- ..we had to bring Huw too.

0:01:10 > 0:01:14- I was like Jesus Christ - and his disciples...

0:01:14 > 0:01:16- ..bringing everyone with me.

0:01:16 > 0:01:21- We tried to remember everything. - An ambulance brought us in.

0:01:21 > 0:01:25- We were lucky to have them. - They were very kind to us.

0:01:26 > 0:01:30- They found that Huw - wasn't breathing properly either.

0:01:31 > 0:01:33- We had to stay in with Huw.

0:01:35 > 0:01:37- Hari Morris is fine!

0:01:37 > 0:01:40- As you see, - they get better suddenly.

0:01:41 > 0:01:45- But poor Huw is poorly, - with his breathing and croup.

0:01:47 > 0:01:51- We're waiting to see the doctor, - to see what they say.

0:01:52 > 0:01:54- In a word, how do you feel?

0:01:55 > 0:01:58- Keen to go home, to be honest.

0:01:58 > 0:02:00- But everyone here has been great.

0:02:02 > 0:02:04- They're marvellous.

0:02:05 > 0:02:09- They're ready to go - one step further and help you.

0:02:09 > 0:02:10- I can't ask for more.

0:02:10 > 0:02:13- But everyone wants - to go home in the end.

0:02:17 > 0:02:18- Huw.

0:02:21 > 0:02:22- Hiya.

0:02:24 > 0:02:27- Hannah Hughes - arrived last night too.

0:02:27 > 0:02:31- Hannah chose to bring her father, - leaving Mam at home.

0:02:32 > 0:02:34- We came in about 12.00am.

0:02:35 > 0:02:37- We went to A&E first, then here.

0:02:38 > 0:02:40- We're in with bronchiolitis again.

0:02:41 > 0:02:47- We expect she'll be diagnosed - with asthma when she's older.

0:02:50 > 0:02:52- I hope we can go home today, though.

0:02:53 > 0:02:55- I hope. Fingers crossed.

0:02:56 > 0:02:58- Her sister is a known asthmatic too.

0:02:58 > 0:03:00- It runs in the family.

0:03:00 > 0:03:02- Granddad has it, so do I...

0:03:03 > 0:03:06- ..her older sister, and her too.

0:03:07 > 0:03:10- I hope it'll pass one day.

0:03:11 > 0:03:12- Hopefully.

0:03:13 > 0:03:15- But I don't think it will.

0:03:15 > 0:03:17- You look very calm.

0:03:18 > 0:03:20- Yes.

0:03:20 > 0:03:23- I just leave the stress - in the back of my mind.

0:03:23 > 0:03:25- I'm self-employed.

0:03:25 > 0:03:30- I've chosen to lock everything - back there and not think about it.

0:03:30 > 0:03:34- I'll phone everyone later - and let them go on at me.

0:03:36 > 0:03:39- Huw Morris is in cubicle five.

0:03:40 > 0:03:42- He has swapped Mam for a nurse.

0:03:46 > 0:03:48- Are you giving Mam a break?

0:03:48 > 0:03:51- No, Mam has gone to the toilet - with the little boy!

0:03:52 > 0:03:56- I saw her struggling, with the baby - in one arm and the little boy.

0:03:57 > 0:03:59- It's an excuse for a cuddle too.

0:04:05 > 0:04:07- Gwion is also having cuddles.

0:04:07 > 0:04:11- He has altered a lot - since we last saw him.

0:04:12 > 0:04:14- He's grown a lot and lost weight.

0:04:15 > 0:04:17- Is that to be expected?

0:04:17 > 0:04:19- We hoped he would.

0:04:20 > 0:04:23- He had a lot of problems - with his chest before.

0:04:23 > 0:04:28- Because he was a bit overweight, - breathing was difficult.

0:04:28 > 0:04:29- He's been on a diet.

0:04:29 > 0:04:33- I'm giving him milk - with all the nutrition in it.

0:04:34 > 0:04:36- He has lost weight on it.

0:04:36 > 0:04:39- He doesn't seem to be - so ill with his chest now.

0:04:39 > 0:04:42- Losing weight must have worked.

0:04:42 > 0:04:43- He's had a haircut.

0:04:43 > 0:04:44- Yes.

0:04:45 > 0:04:47- He started school in September.

0:04:47 > 0:04:52- He had a haircut and makeover before - going to Ysgol Pendalar, bless him.

0:04:53 > 0:04:55- Which he's enjoying.

0:04:57 > 0:04:59- What has the effect been on him?

0:04:59 > 0:05:00- School?

0:05:00 > 0:05:03- They say he's a lot - more alert and talking.

0:05:03 > 0:05:07- He does activities - with the other children like him.

0:05:07 > 0:05:12- It's nice seeing him being - able to go and do things. Isn't it?

0:05:12 > 0:05:13- What about the effect on you?

0:05:13 > 0:05:14- What about the effect on you?- - I miss him.

0:05:15 > 0:05:19- It was hard seeing him go at first. - I'm home with him every day.

0:05:19 > 0:05:23- It's hard to say ta-ra, - but it's nice seeing him go too.

0:05:23 > 0:05:25- Then it's nice having him home!

0:05:26 > 0:05:29- I enjoy being at home with Gwion.

0:05:29 > 0:05:33- I like being a hands-on Dad, - the medications and feeds.

0:05:33 > 0:05:36- I miss work sometimes. - I'm used to going out to work.

0:05:37 > 0:05:39- But I enjoy being a full-time Dad.

0:05:39 > 0:05:43- I have other children - and they've been alright.

0:05:43 > 0:05:45- When we had Gwion, it was a shock.

0:05:45 > 0:05:50- Leaving Alder Hey, we had a long - letter with all the medications.

0:05:50 > 0:05:54- I was scared. I thought, "Oh my god, - what if I make a mistake?"

0:05:55 > 0:05:57- Now, it's just part of life.

0:05:57 > 0:06:01- I get up in the morning, - medications down, feed, change him.

0:06:01 > 0:06:04- You have to get on with it.

0:06:06 > 0:06:08- Straight after breakfast...

0:06:09 > 0:06:13- ..everyone meets to assess - Dewi Ward's young patients.

0:06:13 > 0:06:18- They want more information - about last night's arrivals.

0:06:23 > 0:06:25- I'm Chris, one of the doctors here.

0:06:26 > 0:06:26- How are you?

0:06:26 > 0:06:27- How are you?- - Fine, thanks.

0:06:27 > 0:06:30- Since when have they been ill?

0:06:30 > 0:06:33- A week for him, or a bit less.

0:06:34 > 0:06:38- For him, it's a bit longer, - a week and a half.

0:06:38 > 0:06:39- He's a month old.

0:06:40 > 0:06:42- I don't know him as well.

0:06:42 > 0:06:44- I'm not sure when it began with him.

0:06:46 > 0:06:50- But we noticed about - a week and a half ago...

0:06:50 > 0:06:52- ..his nose was blocked with a cold.

0:06:52 > 0:06:55- He's very young - to have such a bad cold.

0:06:55 > 0:06:58- He's a month old. - Is it the second today?

0:06:58 > 0:07:00- The third.

0:07:00 > 0:07:02- He was a month old yesterday.

0:07:03 > 0:07:05- I'll examine him top to toe.

0:07:05 > 0:07:06- Champion.

0:07:29 > 0:07:30- Has he been coughing?

0:07:30 > 0:07:31- Has he been coughing?- - Yes.

0:07:31 > 0:07:34- He coughs mostly in his sleep...

0:07:34 > 0:07:36- ..more than now.

0:07:44 > 0:07:46- I know. I'm sorry.

0:07:53 > 0:07:57- I'll just cover him with - the blanket and leave him to you.

0:07:57 > 0:07:59- He looks quite well to me.

0:08:00 > 0:08:02- Obviously, he's snuffly.

0:08:03 > 0:08:07- Although it sounds - as if his breathing is noisy...

0:08:07 > 0:08:11- ..he's well in himself - and isn't struggling to breathe.

0:08:11 > 0:08:15- There's an element - of what we call a floppy larynx.

0:08:16 > 0:08:18- The posh name is laryngomalacia.

0:08:19 > 0:08:24- The flap that covers the trachea, - where air goes in...

0:08:24 > 0:08:27- ..is a bit floppy.

0:08:27 > 0:08:29- It's quite common in babies.

0:08:29 > 0:08:33- When they're ill, - their breathing tends to be noisy.

0:08:33 > 0:08:36- It's the flap that - causes the noise...

0:08:36 > 0:08:39- ..and partially blocks - where air goes is.

0:08:39 > 0:08:43- It doesn't usually cause problems. - They grow out of it.

0:08:44 > 0:08:45- Until when?

0:08:45 > 0:08:47- About a year old.

0:08:47 > 0:08:48- OK.

0:08:48 > 0:08:50- Sometimes more, sometimes less.

0:08:51 > 0:08:53- But it doesn't usually - cause problems.

0:08:54 > 0:08:57- We'll get the Registrar - or Consultant to look at him.

0:08:58 > 0:09:02- But I'm sure he'll be able - to go home. He looks fine to me.

0:09:02 > 0:09:02- Thanks.

0:09:02 > 0:09:03- Thanks.- - OK.

0:09:09 > 0:09:12- But not everyone - is allowed to go home.

0:09:12 > 0:09:15- This is Kyle. - He has been here for three days.

0:09:17 > 0:09:19- You see on the monitor...

0:09:19 > 0:09:24- ..the heart rate is a bit faster - because of the medication.

0:09:27 > 0:09:28- OK. Thank you.

0:09:28 > 0:09:33- Compared to the morning, the wheeze - is really significantly reduced.

0:09:33 > 0:09:36- I don't mean there is no wheeze.

0:09:36 > 0:09:41- But significantly, your airways - are opening, getting better...

0:09:41 > 0:09:44- ..and you also say - that you feel better now.

0:09:45 > 0:09:49- We need to reduce oxygen, - you need to stop some medication.

0:09:49 > 0:09:54- You feel better. That means - that the medication is working.

0:09:54 > 0:09:56- When did you come in, Kyle?

0:09:58 > 0:10:00- Saturday night.

0:10:00 > 0:10:02- Do you remember what happened?

0:10:03 > 0:10:05- I went to my friend's house.

0:10:07 > 0:10:11- After staying the night, - I went home.

0:10:12 > 0:10:15- I started to feel ill and wheezy.

0:10:16 > 0:10:18- Dad brought me here.

0:10:21 > 0:10:24- They checked me - and said I had to stay.

0:10:27 > 0:10:29- Since then, I feel a lot better.

0:10:31 > 0:10:33- The staff seem to know you well.

0:10:34 > 0:10:37- Is this a problem you've always had?

0:10:37 > 0:10:39- Yes.

0:10:39 > 0:10:41- What is the matter?

0:10:41 > 0:10:42- Asthma.

0:10:44 > 0:10:48- It gets bad - when the weather changes.

0:10:51 > 0:10:53- So I'm here a lot.

0:10:57 > 0:10:58- Right.

0:10:58 > 0:11:00- Cubicle three, Gwion.

0:11:00 > 0:11:03- Dr Mair Parry - is the head doctor today.

0:11:03 > 0:11:08- She has the final word and - decides who goes home and who stays.

0:11:09 > 0:11:11- Right, then.

0:11:11 > 0:11:12- GWION SHOUTS

0:11:13 > 0:11:16- What's all this noise?! - Who's shouting?

0:11:17 > 0:11:21- That's the signal - that someone is better.

0:11:21 > 0:11:22- Is he better?

0:11:23 > 0:11:25- Yes. He was rattling all day - yesterday.

0:11:25 > 0:11:30- You could hear it. Did something - come up with the nebulizers?

0:11:30 > 0:11:33- A lot yesterday, but nothing today.

0:11:33 > 0:11:35- It would be nice...

0:11:36 > 0:11:38- ..so you get better.

0:11:48 > 0:11:49- It's not bad at all.

0:11:49 > 0:11:51- It's not bad at all.- - Much better than yesterday.

0:11:53 > 0:11:56- Let's try to get you - off the oxygen today.

0:11:56 > 0:11:58- Wouldn't that be nice?

0:11:58 > 0:12:03- We'll change it back to low-flow to - see if we can get it to come down.

0:12:04 > 0:12:06- But he's much better.

0:12:06 > 0:12:10- Gwion shouts at us when he's better.

0:12:11 > 0:12:13- Don't you?

0:12:13 > 0:12:17- You're annoyed you're still here - when you're better!

0:12:19 > 0:12:21- We'll try to get it down...

0:12:21 > 0:12:25- ..and give him oxygen - if he needs it when he's sleeping.

0:12:26 > 0:12:26- You know the procedure.

0:12:26 > 0:12:28- You know the procedure.- - Yes. Thank you.

0:12:28 > 0:12:30- You're welcome.

0:12:31 > 0:12:33- Say ta-ta.

0:12:36 > 0:12:37- GWION SHOUTS

0:12:39 > 0:12:43- When Gwion is poorly, - he doesn't say a word.

0:12:43 > 0:12:47- The minute he's better, - he starts to shout.

0:12:47 > 0:12:51- If we're at the desk, - it's as if he's saying...

0:12:51 > 0:12:54- "..Excuse me, - I'm over here, come and see me!"

0:12:55 > 0:12:58- He loves having people around him.

0:12:58 > 0:13:01- He shouts because he wants company.

0:13:02 > 0:13:04- He knows it's time to go home.

0:13:05 > 0:13:07- It won't be long now.

0:13:07 > 0:13:07- .

0:13:12 > 0:13:12- Subtitles

0:13:12 > 0:13:14- Subtitles- - Subtitles

0:13:17 > 0:13:20- There are children - who visit Dewi Ward so often...

0:13:20 > 0:13:24- ..the nurses feel - they're part of the family.

0:13:24 > 0:13:26- Kyle is one of those.

0:13:28 > 0:13:30- We've known Kyle a long time.

0:13:30 > 0:13:32- Since when?

0:13:32 > 0:13:33- I was very young.

0:13:34 > 0:13:37- Kyle has been in and out - since he was a young boy.

0:13:37 > 0:13:41- He's always had problems with - his chest. Kyle has severe asthma.

0:13:42 > 0:13:46- Every now and then, - you have a bad attack.

0:13:47 > 0:13:48- Yes.

0:13:48 > 0:13:52- We bring him to this room - for a few days.

0:13:53 > 0:13:54- What is this room?

0:13:54 > 0:13:56- What is this room?- - We call it HDU.

0:13:56 > 0:13:59- It's next to the nurses' desk.

0:13:59 > 0:14:03- We can keep a closer eye - on the patient.

0:14:04 > 0:14:08- Kyle has been on a lot - of infusions and monitoring.

0:14:08 > 0:14:11- We check his obs every hour.

0:14:11 > 0:14:15- He was really poorly yesterday.

0:14:15 > 0:14:18- We checked him - more often than every hour.

0:14:19 > 0:14:21- It's so close to the desk...

0:14:21 > 0:14:25- ..we can keep an eye from there - and not just in here.

0:14:25 > 0:14:29- Kyle is cheeky when he's better.

0:14:31 > 0:14:35- When he was younger, we held him - down to give him medicine.

0:14:36 > 0:14:40- He knows moving his finger - sets off the alarms.

0:14:40 > 0:14:42- Don't you?

0:14:42 > 0:14:46- The probe was a long way - from his finger this morning.

0:14:46 > 0:14:50- I asked him, "Why didn't you - tell us the probe had come off?"

0:14:50 > 0:14:53- He sat there, - listening to the alarms.

0:14:53 > 0:14:58- It's important to have fun - when you're bedridden.

0:15:01 > 0:15:03- Have you been a naughty boy?

0:15:03 > 0:15:06- You pulled the oxygen - out of your nose!

0:15:07 > 0:15:09- You're not meant to do that!

0:15:10 > 0:15:13- Hello, baby.

0:15:14 > 0:15:17- Gwion's Nain and aunt - have come to see him.

0:15:18 > 0:15:21- Gwion loves having visitors.

0:15:21 > 0:15:24- Are you smiling for us?

0:15:26 > 0:15:30- Oh, cuddles.

0:15:30 > 0:15:35- Oh, you're cuddling us.

0:15:44 > 0:15:46- Kyle's father has arrived.

0:15:46 > 0:15:49- He's used to visiting his son - in hospital.

0:15:57 > 0:15:59- Mask.

0:16:04 > 0:16:06- Are you doing my job, Dad?!

0:16:07 > 0:16:10- I've been here for so long, - you get used to it!

0:16:14 > 0:16:17- He's been here for so long...

0:16:18 > 0:16:20- ..it's like automatic.

0:16:23 > 0:16:27- The most important job is you guys, - looking after him.

0:16:27 > 0:16:32- You know what, - I'm very appreciative.

0:16:32 > 0:16:34- You're no trouble, fair play.

0:16:34 > 0:16:38- You're out of breath now.

0:16:39 > 0:16:41- I'll keep an eye on your sats.

0:16:42 > 0:16:47- They're a bit low because - he's been up.

0:16:49 > 0:16:53- The doctor gives me all - the information I need to know.

0:16:53 > 0:16:55- Due to experience as well...

0:16:55 > 0:17:01- ..I know if I put my hand on his - chest or put my ear on his chest...

0:17:01 > 0:17:03- ..I can hear the wheezing.

0:17:04 > 0:17:08- I know they won't send him home - if there's any wheezing at all.

0:17:08 > 0:17:12- That's one good thing - the doctors here have got.

0:17:12 > 0:17:15- Unless he's in tip-top shape - to be allowed to go home...

0:17:16 > 0:17:17- ..they won't let him home.

0:17:18 > 0:17:21- That's one of the good kinds - of doctors they got here...

0:17:21 > 0:17:24- ..checking him over every two hours, - constant nurses.

0:17:25 > 0:17:28- They check him constantly - and give me updates.

0:17:29 > 0:17:32- I say, "How is he?"

0:17:33 > 0:17:36- You heard the nurse - saying about his sats.

0:17:36 > 0:17:40- I can understand a bit - of this medical stuff...

0:17:40 > 0:17:43- ..because I've been here - for so long.

0:17:43 > 0:17:45- I spoke to the doctor.

0:17:45 > 0:17:49- He told me it'll be a while - before he's allowed home.

0:17:50 > 0:17:54- Good morning! Hiya. - Do you speak Welsh?

0:17:55 > 0:17:57- Is he always this noisy?

0:17:58 > 0:18:01- Yes, when he's awake. - He's quiet when he's asleep.

0:18:02 > 0:18:04- He's off his food.

0:18:04 > 0:18:06- He is feeding...

0:18:07 > 0:18:09- ..often and a little at a time.

0:18:09 > 0:18:13- Let's listen to you.

0:18:21 > 0:18:24- His chest is quite clear.

0:18:24 > 0:18:28- I reckon - it's a bit of laryngomalacia...

0:18:28 > 0:18:30- ..floppy larynx.

0:18:30 > 0:18:33- It makes the noise.

0:18:33 > 0:18:36- Perhaps he has a touch of cold, - like his brother.

0:18:36 > 0:18:38- That's made it worse.

0:18:39 > 0:18:41- It is noisy.

0:18:42 > 0:18:47- The feeding bothers me - more than the noise.

0:18:48 > 0:18:53- It isn't a nice sound, - but I'm not too worried about it.

0:18:54 > 0:18:56- He has a blocked nose.

0:18:57 > 0:19:02- Can we keep him in for a few hours, - to keep an eye on the feeding?

0:19:02 > 0:19:08- If he eats enough to have three - wet nappies a day, that's plenty.

0:19:08 > 0:19:12- If he goes 12 hours without a wee, - he isn't having enough fluids.

0:19:13 > 0:19:17- That happened a few days ago, - but it passed.

0:19:17 > 0:19:19- Then he picked up again.

0:19:19 > 0:19:22- He's a little better now.

0:19:24 > 0:19:27- We'll keep an eye on him today.

0:19:27 > 0:19:30- The nappies are green.

0:19:30 > 0:19:31- He isn't eating enough.

0:19:31 > 0:19:33- He isn't eating enough.- - Is that what it is?

0:19:36 > 0:19:38- He seems fine.

0:19:39 > 0:19:40- A review later?

0:19:40 > 0:19:43- A review later?- - Yes, teatime.

0:19:45 > 0:19:48- Mam and Dad are here.

0:19:49 > 0:19:54- We'll do a feeding chart - and see how he does.

0:19:59 > 0:20:01- We're alright for beds.

0:20:01 > 0:20:04- Are we OK?

0:20:06 > 0:20:08- Kyle is having lunch.

0:20:11 > 0:20:14- OK. Peckish?

0:20:18 > 0:20:22- Three days of breathlessness - have taken their toll.

0:20:23 > 0:20:25- It's important that he eats.

0:20:25 > 0:20:28- His father will make sure he does.

0:20:47 > 0:20:50- Hannah doesn't need - encouragement to eat.

0:20:51 > 0:20:54- She was rushed in at 2.00am.

0:20:56 > 0:20:59- She has improved as the day goes on.

0:20:59 > 0:21:02- We hope to go home tonight.

0:21:02 > 0:21:06- Dad will have a better night's - sleep. She's sleeping alright.

0:21:07 > 0:21:10- She's used to noise at home - at bedtime.

0:21:11 > 0:21:14- She's improved during the day...

0:21:15 > 0:21:16- ..good improvement.

0:21:24 > 0:21:27- Huw can go home after a day here...

0:21:28 > 0:21:30- ..as soon as his father arrives.

0:21:34 > 0:21:35- Hey! Are you OK?

0:21:35 > 0:21:36- Hey! Are you OK?- - Yes, thanks.

0:21:36 > 0:21:38- We can go home.

0:21:39 > 0:21:39- Is he OK?

0:21:39 > 0:21:42- Is he OK?- - Yes. He's hiccupping.

0:21:43 > 0:21:45- We're ready to go.

0:21:45 > 0:21:46- We're ready to go.- - What did they say?

0:21:47 > 0:21:50- He's feeding well. - They're happy to let him go.

0:21:50 > 0:21:52- He slept all afternoon.

0:21:52 > 0:21:53- We can go now.

0:21:54 > 0:21:56- Good. I'm sure you're glad.

0:21:56 > 0:21:57- Good. I'm sure you're glad.- - Yes!

0:21:59 > 0:22:00- BELL

0:22:01 > 0:22:03- Another day is over.

0:22:04 > 0:22:06- Sister Mel has rung the bell.

0:22:12 > 0:22:15- Those who are supposed to go - are leaving.

0:22:16 > 0:22:18- Ta-ra.

0:22:21 > 0:22:24- Those left behind can sleep.

0:22:31 > 0:22:35- Huw's floppy larynx - strengthens as he grows.

0:22:35 > 0:22:39- Hari Morris made a full recovery.

0:22:40 > 0:22:44- Kyle's new medicine - keeps the asthma under control.

0:22:44 > 0:22:49- Gwion was rushed to Alder Hey. - He still has breathing difficulties.

0:23:05 > 0:23:07- S4C Subtitles by Gwead

0:23:07 > 0:23:07- .