Pennod 5 Ward Plant


Pennod 5

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-It's 8.00am and breakfast time

-on Dewi Ward.

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-One little boy has waited hours

-for breakfast.

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-Hello. Are you alright?

-Here are crispies for him.

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-Thanks.

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-Thanks.

-

-OK?

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-Alright? What's that, jam?

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-Yes, jam.

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-We've had a very long night,

-to be honest.

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-We haven't been in bed at all.

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-It started with Hari Morris.

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-He wanted to cry,

-but wasn't quite able to.

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-He couldn't catch

-his breath at all, with croup.

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-He coughs quite badly.

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-Because I'm feeding Huw,

-who is a month old...

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-..we had to bring Huw too.

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-I was like Jesus Christ

-and his disciples...

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-..bringing everyone with me.

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-We tried to remember everything.

-An ambulance brought us in.

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-We were lucky to have them.

-They were very kind to us.

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-They found that Huw

-wasn't breathing properly either.

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-We had to stay in with Huw.

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-Hari Morris is fine!

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-As you see,

-they get better suddenly.

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-But poor Huw is poorly,

-with his breathing and croup.

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-We're waiting to see the doctor,

-to see what they say.

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-In a word, how do you feel?

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-Keen to go home, to be honest.

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-But everyone here has been great.

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-They're marvellous.

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-They're ready to go

-one step further and help you.

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-I can't ask for more.

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-But everyone wants

-to go home in the end.

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-Huw.

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-Hiya.

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-Hannah Hughes

-arrived last night too.

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-Hannah chose to bring her father,

-leaving Mam at home.

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-We came in about 12.00am.

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

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-We're in with bronchiolitis again.

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-We expect she'll be diagnosed

-with asthma when she's older.

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-I hope we can go home today, though.

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-I hope. Fingers crossed.

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-Her sister is a known asthmatic too.

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-It runs in the family.

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-Granddad has it, so do I...

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-..her older sister, and her too.

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-I hope it'll pass one day.

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-Hopefully.

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-But I don't think it will.

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-You look very calm.

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-Yes.

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-I just leave the stress

-in the back of my mind.

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-I'm self-employed.

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-I've chosen to lock everything

-back there and not think about it.

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-I'll phone everyone later

-and let them go on at me.

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-Huw Morris is in cubicle five.

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-He has swapped Mam for a nurse.

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-Are you giving Mam a break?

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-No, Mam has gone to the toilet

-with the little boy!

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-I saw her struggling, with the baby

-in one arm and the little boy.

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-It's an excuse for a cuddle too.

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-Gwion is also having cuddles.

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-He has altered a lot

-since we last saw him.

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-He's grown a lot and lost weight.

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-Is that to be expected?

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-We hoped he would.

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-He had a lot of problems

-with his chest before.

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-Because he was a bit overweight,

-breathing was difficult.

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-He's been on a diet.

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-I'm giving him milk

-with all the nutrition in it.

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-He has lost weight on it.

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-He doesn't seem to be

-so ill with his chest now.

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-Losing weight must have worked.

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-He's had a haircut.

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-Yes.

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-He started school in September.

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-He had a haircut and makeover before

-going to Ysgol Pendalar, bless him.

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-Which he's enjoying.

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-What has the effect been on him?

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-School?

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-They say he's a lot

-more alert and talking.

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-He does activities

-with the other children like him.

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-It's nice seeing him being

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

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-What about the effect on you?

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-What about the effect on you?

-

-I miss him.

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-It was hard seeing him go at first.

-I'm home with him every day.

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-It's hard to say ta-ra,

-but it's nice seeing him go too.

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-Then it's nice having him home!

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-I enjoy being at home with Gwion.

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-I like being a hands-on Dad,

-the medications and feeds.

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-I miss work sometimes.

-I'm used to going out to work.

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-But I enjoy being a full-time Dad.

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-I have other children

-and they've been alright.

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-When we had Gwion, it was a shock.

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-Leaving Alder Hey, we had a long

-letter with all the medications.

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

-what if I make a mistake?"

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-Now, it's just part of life.

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-I get up in the morning,

-medications down, feed, change him.

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-You have to get on with it.

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-Straight after breakfast...

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-..everyone meets to assess

-Dewi Ward's young patients.

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-They want more information

-about last night's arrivals.

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

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-How are you?

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-How are you?

-

-Fine, thanks.

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-Since when have they been ill?

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-A week for him, or a bit less.

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-For him, it's a bit longer,

-a week and a half.

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-He's a month old.

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-I don't know him as well.

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

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-But we noticed about

-a week and a half ago...

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-..his nose was blocked with a cold.

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-He's very young

-to have such a bad cold.

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-He's a month old.

-Is it the second today?

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-The third.

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-He was a month old yesterday.

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-I'll examine him top to toe.

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-Champion.

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-Has he been coughing?

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-Has he been coughing?

-

-Yes.

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-He coughs mostly in his sleep...

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-..more than now.

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-I know. I'm sorry.

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-I'll just cover him with

-the blanket and leave him to you.

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-He looks quite well to me.

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-Obviously, he's snuffly.

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-Although it sounds

-as if his breathing is noisy...

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-..he's well in himself

-and isn't struggling to breathe.

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-There's an element

-of what we call a floppy larynx.

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-The posh name is laryngomalacia.

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-The flap that covers the trachea,

-where air goes in...

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-..is a bit floppy.

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-It's quite common in babies.

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-When they're ill,

-their breathing tends to be noisy.

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-It's the flap that

-causes the noise...

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-..and partially blocks

-where air goes is.

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-It doesn't usually cause problems.

-They grow out of it.

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-Until when?

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-About a year old.

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-OK.

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-Sometimes more, sometimes less.

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-But it doesn't usually

-cause problems.

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-We'll get the Registrar

-or Consultant to look at him.

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-But I'm sure he'll be able

-to go home. He looks fine to me.

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-Thanks.

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-Thanks.

-

-OK.

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-But not everyone

-is allowed to go home.

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-This is Kyle.

-He has been here for three days.

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-You see on the monitor...

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-..the heart rate is a bit faster

-because of the medication.

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-OK. Thank you.

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-Compared to the morning, the wheeze

-is really significantly reduced.

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-I don't mean there is no wheeze.

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-But significantly, your airways

-are opening, getting better...

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-..and you also say

-that you feel better now.

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-We need to reduce oxygen,

-you need to stop some medication.

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-You feel better. That means

-that the medication is working.

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-When did you come in, Kyle?

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-Saturday night.

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-Do you remember what happened?

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-I went to my friend's house.

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-After staying the night,

-I went home.

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-I started to feel ill and wheezy.

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-Dad brought me here.

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-They checked me

-and said I had to stay.

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-Since then, I feel a lot better.

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-The staff seem to know you well.

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-Is this a problem you've always had?

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-Yes.

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-What is the matter?

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-Asthma.

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-It gets bad

-when the weather changes.

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-So I'm here a lot.

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-Right.

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-Cubicle three, Gwion.

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-Dr Mair Parry

-is the head doctor today.

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-She has the final word and

-decides who goes home and who stays.

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-Right, then.

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-GWION SHOUTS

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-What's all this noise?!

-Who's shouting?

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-That's the signal

-that someone is better.

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-Is he better?

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-Yes. He was rattling all day

-yesterday.

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-You could hear it. Did something

-come up with the nebulizers?

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-A lot yesterday, but nothing today.

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-It would be nice...

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-..so you get better.

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-It's not bad at all.

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-It's not bad at all.

-

-Much better than yesterday.

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-Let's try to get you

-off the oxygen today.

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-Wouldn't that be nice?

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

-see if we can get it to come down.

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-But he's much better.

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-Gwion shouts at us when he's better.

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-Don't you?

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-You're annoyed you're still here

-when you're better!

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

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-..and give him oxygen

-if he needs it when he's sleeping.

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-You know the procedure.

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-You know the procedure.

-

-Yes. Thank you.

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-You're welcome.

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-Say ta-ta.

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-GWION SHOUTS

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-When Gwion is poorly,

-he doesn't say a word.

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-The minute he's better,

-he starts to shout.

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-If we're at the desk,

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

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-"..Excuse me,

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

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-He loves having people around him.

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-He shouts because he wants company.

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-He knows it's time to go home.

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-It won't be long now.

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-.

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-Subtitles

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-Subtitles

-

-Subtitles

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-There are children

-who visit Dewi Ward so often...

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-..the nurses feel

-they're part of the family.

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-Kyle is one of those.

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-We've known Kyle a long time.

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-Since when?

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-I was very young.

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-Kyle has been in and out

-since he was a young boy.

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-He's always had problems with

-his chest. Kyle has severe asthma.

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-Every now and then,

-you have a bad attack.

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-Yes.

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-We bring him to this room

-for a few days.

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-What is this room?

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-What is this room?

-

-We call it HDU.

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-It's next to the nurses' desk.

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-We can keep a closer eye

-on the patient.

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-Kyle has been on a lot

-of infusions and monitoring.

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-We check his obs every hour.

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-He was really poorly yesterday.

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-We checked him

-more often than every hour.

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

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-..we can keep an eye from there

-and not just in here.

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-Kyle is cheeky when he's better.

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-When he was younger, we held him

-down to give him medicine.

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-He knows moving his finger

-sets off the alarms.

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-Don't you?

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-The probe was a long way

-from his finger this morning.

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-I asked him, "Why didn't you

-tell us the probe had come off?"

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-He sat there,

-listening to the alarms.

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-It's important to have fun

-when you're bedridden.

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-Have you been a naughty boy?

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-You pulled the oxygen

-out of your nose!

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-You're not meant to do that!

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-Hello, baby.

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-Gwion's Nain and aunt

-have come to see him.

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-Gwion loves having visitors.

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-Are you smiling for us?

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-Oh, cuddles.

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-Oh, you're cuddling us.

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-Kyle's father has arrived.

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-He's used to visiting his son

-in hospital.

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-Mask.

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-Are you doing my job, Dad?!

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-I've been here for so long,

-you get used to it!

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

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-..it's like automatic.

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-The most important job is you guys,

-looking after him.

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-You know what,

-I'm very appreciative.

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-You're no trouble, fair play.

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-You're out of breath now.

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-I'll keep an eye on your sats.

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-They're a bit low because

-he's been up.

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-The doctor gives me all

-the information I need to know.

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-Due to experience as well...

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

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

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-..I can hear the wheezing.

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-I know they won't send him home

-if there's any wheezing at all.

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-That's one good thing

-the doctors here have got.

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-Unless he's in tip-top shape

-to be allowed to go home...

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-..they won't let him home.

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-That's one of the good kinds

-of doctors they got here...

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-..checking him over every two hours,

-constant nurses.

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-They check him constantly

-and give me updates.

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-I say, "How is he?"

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-You heard the nurse

-saying about his sats.

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-I can understand a bit

-of this medical stuff...

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-..because I've been here

-for so long.

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-I spoke to the doctor.

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-He told me it'll be a while

-before he's allowed home.

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-Good morning! Hiya.

-Do you speak Welsh?

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-Is he always this noisy?

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-Yes, when he's awake.

-He's quiet when he's asleep.

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-He's off his food.

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-He is feeding...

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-..often and a little at a time.

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-Let's listen to you.

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-His chest is quite clear.

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-I reckon

-it's a bit of laryngomalacia...

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-..floppy larynx.

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-It makes the noise.

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-Perhaps he has a touch of cold,

-like his brother.

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-That's made it worse.

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-It is noisy.

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-The feeding bothers me

-more than the noise.

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-It isn't a nice sound,

-but I'm not too worried about it.

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-He has a blocked nose.

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-Can we keep him in for a few hours,

-to keep an eye on the feeding?

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-If he eats enough to have three

-wet nappies a day, that's plenty.

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-If he goes 12 hours without a wee,

-he isn't having enough fluids.

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-That happened a few days ago,

-but it passed.

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-Then he picked up again.

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-He's a little better now.

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-We'll keep an eye on him today.

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-The nappies are green.

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-He isn't eating enough.

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-He isn't eating enough.

-

-Is that what it is?

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-He seems fine.

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-A review later?

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-A review later?

-

-Yes, teatime.

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-Mam and Dad are here.

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-We'll do a feeding chart

-and see how he does.

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-We're alright for beds.

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-Are we OK?

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-Kyle is having lunch.

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-OK. Peckish?

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-Three days of breathlessness

-have taken their toll.

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-It's important that he eats.

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-His father will make sure he does.

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-Hannah doesn't need

-encouragement to eat.

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-She was rushed in at 2.00am.

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-She has improved as the day goes on.

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-We hope to go home tonight.

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-Dad will have a better night's

-sleep. She's sleeping alright.

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-She's used to noise at home

-at bedtime.

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-She's improved during the day...

0:21:110:21:14

-..good improvement.

0:21:150:21:16

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

0:21:240:21:27

-..as soon as his father arrives.

0:21:280:21:30

-Hey! Are you OK?

0:21:340:21:35

-Hey! Are you OK?

-

-Yes, thanks.

0:21:350:21:36

-We can go home.

0:21:360:21:38

-Is he OK?

0:21:390:21:39

-Is he OK?

-

-Yes. He's hiccupping.

0:21:390:21:42

-We're ready to go.

0:21:430:21:45

-We're ready to go.

-

-What did they say?

0:21:450:21:46

-He's feeding well.

-They're happy to let him go.

0:21:470:21:50

-He slept all afternoon.

0:21:500:21:52

-We can go now.

0:21:520:21:53

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

0:21:540:21:56

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

-

-Yes!

0:21:560:21:57

-BELL

0:21:590:22:00

-Another day is over.

0:22:010:22:03

-Sister Mel has rung the bell.

0:22:040:22:06

-Those who are supposed to go

-are leaving.

0:22:120:22:15

-Ta-ra.

0:22:160:22:18

-Those left behind can sleep.

0:22:210:22:24

-Huw's floppy larynx

-strengthens as he grows.

0:22:310:22:35

-Hari Morris made a full recovery.

0:22:350:22:39

-Kyle's new medicine

-keeps the asthma under control.

0:22:400:22:44

-Gwion was rushed to Alder Hey.

-He still has breathing difficulties.

0:22:440:22:49

-S4C Subtitles by Gwead

0:23:050:23:07

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0:23:070:23:07

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