Pennod 5 Ward Plant

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-It's 8.00am and breakfast time

-on Dewi Ward.

-One little boy has waited hours

-for breakfast.

-Hello. Are you alright?

-Here are crispies for him.

-Thanks.

-Thanks.

-

-OK?

-Alright? What's that, jam?

-Yes, jam.

-We've had a very long night,

-to be honest.

-We haven't been in bed at all.

-It started with Hari Morris.

-He wanted to cry,

-but wasn't quite able to.

-He couldn't catch

-his breath at all, with croup.

-He coughs quite badly.

-Because I'm feeding Huw,

-who is a month old...

-..we had to bring Huw too.

-I was like Jesus Christ

-and his disciples...

-..bringing everyone with me.

-We tried to remember everything.

-An ambulance brought us in.

-We were lucky to have them.

-They were very kind to us.

-They found that Huw

-wasn't breathing properly either.

-We had to stay in with Huw.

-Hari Morris is fine!

-As you see,

-they get better suddenly.

-But poor Huw is poorly,

-with his breathing and croup.

-We're waiting to see the doctor,

-to see what they say.

-In a word, how do you feel?

-Keen to go home, to be honest.

-But everyone here has been great.

-They're marvellous.

-They're ready to go

-one step further and help you.

-I can't ask for more.

-But everyone wants

-to go home in the end.

-Huw.

-Hiya.

-Hannah Hughes

-arrived last night too.

-Hannah chose to bring her father,

-leaving Mam at home.

-We came in about 12.00am.

-We went to A&E first, then here.

-We're in with bronchiolitis again.

-We expect she'll be diagnosed

-with asthma when she's older.

-I hope we can go home today, though.

-I hope. Fingers crossed.

-Her sister is a known asthmatic too.

-It runs in the family.

-Granddad has it, so do I...

-..her older sister, and her too.

-I hope it'll pass one day.

-Hopefully.

-But I don't think it will.

-You look very calm.

-Yes.

-I just leave the stress

-in the back of my mind.

-I'm self-employed.

-I've chosen to lock everything

-back there and not think about it.

-I'll phone everyone later

-and let them go on at me.

-Huw Morris is in cubicle five.

-He has swapped Mam for a nurse.

-Are you giving Mam a break?

-No, Mam has gone to the toilet

-with the little boy!

-I saw her struggling, with the baby

-in one arm and the little boy.

-It's an excuse for a cuddle too.

-Gwion is also having cuddles.

-He has altered a lot

-since we last saw him.

-He's grown a lot and lost weight.

-Is that to be expected?

-We hoped he would.

-He had a lot of problems

-with his chest before.

-Because he was a bit overweight,

-breathing was difficult.

-He's been on a diet.

-I'm giving him milk

-with all the nutrition in it.

-He has lost weight on it.

-He doesn't seem to be

-so ill with his chest now.

-Losing weight must have worked.

-He's had a haircut.

-Yes.

-He started school in September.

-He had a haircut and makeover before

-going to Ysgol Pendalar, bless him.

-Which he's enjoying.

-What has the effect been on him?

-School?

-They say he's a lot

-more alert and talking.

-He does activities

-with the other children like him.

-It's nice seeing him being

-able to go and do things. Isn't it?

-What about the effect on you?

-What about the effect on you?

-

-I miss him.

-It was hard seeing him go at first.

-I'm home with him every day.

-It's hard to say ta-ra,

-but it's nice seeing him go too.

-Then it's nice having him home!

-I enjoy being at home with Gwion.

-I like being a hands-on Dad,

-the medications and feeds.

-I miss work sometimes.

-I'm used to going out to work.

-But I enjoy being a full-time Dad.

-I have other children

-and they've been alright.

-When we had Gwion, it was a shock.

-Leaving Alder Hey, we had a long

-letter with all the medications.

-I was scared. I thought, "Oh my god,

-what if I make a mistake?"

-Now, it's just part of life.

-I get up in the morning,

-medications down, feed, change him.

-You have to get on with it.

-Straight after breakfast...

-..everyone meets to assess

-Dewi Ward's young patients.

-They want more information

-about last night's arrivals.

-I'm Chris, one of the doctors here.

-How are you?

-How are you?

-

-Fine, thanks.

-Since when have they been ill?

-A week for him, or a bit less.

-For him, it's a bit longer,

-a week and a half.

-He's a month old.

-I don't know him as well.

-I'm not sure when it began with him.

-But we noticed about

-a week and a half ago...

-..his nose was blocked with a cold.

-He's very young

-to have such a bad cold.

-He's a month old.

-Is it the second today?

-The third.

-He was a month old yesterday.

-I'll examine him top to toe.

-Champion.

-Has he been coughing?

-Has he been coughing?

-

-Yes.

-He coughs mostly in his sleep...

-..more than now.

-I know. I'm sorry.

-I'll just cover him with

-the blanket and leave him to you.

-He looks quite well to me.

-Obviously, he's snuffly.

-Although it sounds

-as if his breathing is noisy...

-..he's well in himself

-and isn't struggling to breathe.

-There's an element

-of what we call a floppy larynx.

-The posh name is laryngomalacia.

-The flap that covers the trachea,

-where air goes in...

-..is a bit floppy.

-It's quite common in babies.

-When they're ill,

-their breathing tends to be noisy.

-It's the flap that

-causes the noise...

-..and partially blocks

-where air goes is.

-It doesn't usually cause problems.

-They grow out of it.

-Until when?

-About a year old.

-OK.

-Sometimes more, sometimes less.

-But it doesn't usually

-cause problems.

-We'll get the Registrar

-or Consultant to look at him.

-But I'm sure he'll be able

-to go home. He looks fine to me.

-Thanks.

-Thanks.

-

-OK.

-But not everyone

-is allowed to go home.

-This is Kyle.

-He has been here for three days.

-You see on the monitor...

-..the heart rate is a bit faster

-because of the medication.

-OK. Thank you.

-Compared to the morning, the wheeze

-is really significantly reduced.

-I don't mean there is no wheeze.

-But significantly, your airways

-are opening, getting better...

-..and you also say

-that you feel better now.

-We need to reduce oxygen,

-you need to stop some medication.

-You feel better. That means

-that the medication is working.

-When did you come in, Kyle?

-Saturday night.

-Do you remember what happened?

-I went to my friend's house.

-After staying the night,

-I went home.

-I started to feel ill and wheezy.

-Dad brought me here.

-They checked me

-and said I had to stay.

-Since then, I feel a lot better.

-The staff seem to know you well.

-Is this a problem you've always had?

-Yes.

-What is the matter?

-Asthma.

-It gets bad

-when the weather changes.

-So I'm here a lot.

-Right.

-Cubicle three, Gwion.

-Dr Mair Parry

-is the head doctor today.

-She has the final word and

-decides who goes home and who stays.

-Right, then.

-GWION SHOUTS

-What's all this noise?!

-Who's shouting?

-That's the signal

-that someone is better.

-Is he better?

-Yes. He was rattling all day

-yesterday.

-You could hear it. Did something

-come up with the nebulizers?

-A lot yesterday, but nothing today.

-It would be nice...

-..so you get better.

-It's not bad at all.

-It's not bad at all.

-

-Much better than yesterday.

-Let's try to get you

-off the oxygen today.

-Wouldn't that be nice?

-We'll change it back to low-flow to

-see if we can get it to come down.

-But he's much better.

-Gwion shouts at us when he's better.

-Don't you?

-You're annoyed you're still here

-when you're better!

-We'll try to get it down...

-..and give him oxygen

-if he needs it when he's sleeping.

-You know the procedure.

-You know the procedure.

-

-Yes. Thank you.

-You're welcome.

-Say ta-ta.

-GWION SHOUTS

-When Gwion is poorly,

-he doesn't say a word.

-The minute he's better,

-he starts to shout.

-If we're at the desk,

-it's as if he's saying...

-"..Excuse me,

-I'm over here, come and see me!"

-He loves having people around him.

-He shouts because he wants company.

-He knows it's time to go home.

-It won't be long now.

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-There are children

-who visit Dewi Ward so often...

-..the nurses feel

-they're part of the family.

-Kyle is one of those.

-We've known Kyle a long time.

-Since when?

-I was very young.

-Kyle has been in and out

-since he was a young boy.

-He's always had problems with

-his chest. Kyle has severe asthma.

-Every now and then,

-you have a bad attack.

-Yes.

-We bring him to this room

-for a few days.

-What is this room?

-What is this room?

-

-We call it HDU.

-It's next to the nurses' desk.

-We can keep a closer eye

-on the patient.

-Kyle has been on a lot

-of infusions and monitoring.

-We check his obs every hour.

-He was really poorly yesterday.

-We checked him

-more often than every hour.

-It's so close to the desk...

-..we can keep an eye from there

-and not just in here.

-Kyle is cheeky when he's better.

-When he was younger, we held him

-down to give him medicine.

-He knows moving his finger

-sets off the alarms.

-Don't you?

-The probe was a long way

-from his finger this morning.

-I asked him, "Why didn't you

-tell us the probe had come off?"

-He sat there,

-listening to the alarms.

-It's important to have fun

-when you're bedridden.

-Have you been a naughty boy?

-You pulled the oxygen

-out of your nose!

-You're not meant to do that!

-Hello, baby.

-Gwion's Nain and aunt

-have come to see him.

-Gwion loves having visitors.

-Are you smiling for us?

-Oh, cuddles.

-Oh, you're cuddling us.

-Kyle's father has arrived.

-He's used to visiting his son

-in hospital.

-Mask.

-Are you doing my job, Dad?!

-I've been here for so long,

-you get used to it!

-He's been here for so long...

-..it's like automatic.

-The most important job is you guys,

-looking after him.

-You know what,

-I'm very appreciative.

-You're no trouble, fair play.

-You're out of breath now.

-I'll keep an eye on your sats.

-They're a bit low because

-he's been up.

-The doctor gives me all

-the information I need to know.

-Due to experience as well...

-..I know if I put my hand on his

-chest or put my ear on his chest...

-..I can hear the wheezing.

-I know they won't send him home

-if there's any wheezing at all.

-That's one good thing

-the doctors here have got.

-Unless he's in tip-top shape

-to be allowed to go home...

-..they won't let him home.

-That's one of the good kinds

-of doctors they got here...

-..checking him over every two hours,

-constant nurses.

-They check him constantly

-and give me updates.

-I say, "How is he?"

-You heard the nurse

-saying about his sats.

-I can understand a bit

-of this medical stuff...

-..because I've been here

-for so long.

-I spoke to the doctor.

-He told me it'll be a while

-before he's allowed home.

-Good morning! Hiya.

-Do you speak Welsh?

-Is he always this noisy?

-Yes, when he's awake.

-He's quiet when he's asleep.

-He's off his food.

-He is feeding...

-..often and a little at a time.

-Let's listen to you.

-His chest is quite clear.

-I reckon

-it's a bit of laryngomalacia...

-..floppy larynx.

-It makes the noise.

-Perhaps he has a touch of cold,

-like his brother.

-That's made it worse.

-It is noisy.

-The feeding bothers me

-more than the noise.

-It isn't a nice sound,

-but I'm not too worried about it.

-He has a blocked nose.

-Can we keep him in for a few hours,

-to keep an eye on the feeding?

-If he eats enough to have three

-wet nappies a day, that's plenty.

-If he goes 12 hours without a wee,

-he isn't having enough fluids.

-That happened a few days ago,

-but it passed.

-Then he picked up again.

-He's a little better now.

-We'll keep an eye on him today.

-The nappies are green.

-He isn't eating enough.

-He isn't eating enough.

-

-Is that what it is?

-He seems fine.

-A review later?

-A review later?

-

-Yes, teatime.

-Mam and Dad are here.

-We'll do a feeding chart

-and see how he does.

-We're alright for beds.

-Are we OK?

-Kyle is having lunch.

-OK. Peckish?

-Three days of breathlessness

-have taken their toll.

-It's important that he eats.

-His father will make sure he does.

-Hannah doesn't need

-encouragement to eat.

-She was rushed in at 2.00am.

-She has improved as the day goes on.

-We hope to go home tonight.

-Dad will have a better night's

-sleep. She's sleeping alright.

-She's used to noise at home

-at bedtime.

-She's improved during the day...

-..good improvement.

-Huw can go home after a day here...

-..as soon as his father arrives.

-Hey! Are you OK?

-Hey! Are you OK?

-

-Yes, thanks.

-We can go home.

-Is he OK?

-Is he OK?

-

-Yes. He's hiccupping.

-We're ready to go.

-We're ready to go.

-

-What did they say?

-He's feeding well.

-They're happy to let him go.

-He slept all afternoon.

-We can go now.

-Good. I'm sure you're glad.

-Good. I'm sure you're glad.

-

-Yes!

-BELL

-Another day is over.

-Sister Mel has rung the bell.

-Those who are supposed to go

-are leaving.

-Ta-ra.

-Those left behind can sleep.

-Huw's floppy larynx

-strengthens as he grows.

-Hari Morris made a full recovery.

-Kyle's new medicine

-keeps the asthma under control.

-Gwion was rushed to Alder Hey.

-He still has breathing difficulties.

-S4C Subtitles by Gwead

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