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0:00:35 > 0:00:40- It's a new morning at - the children ward in Ysbyty Gwynedd.
0:00:40 > 0:00:44- There's a clean bed - for every new patient.
0:00:49 > 0:00:53- Kyle has been in for a week - after a bad attack of asthma.
0:00:53 > 0:00:55- It's breakfast time.
0:00:57 > 0:00:59- Who are you texting this early?
0:00:59 > 0:01:02- Who are you texting this early?- - No-one. I'm playing a game.
0:01:02 > 0:01:04- What time is it?
0:01:05 > 0:01:07- Twenty to nine.
0:01:10 > 0:01:12- When did they move you here?
0:01:12 > 0:01:13- Yesterday.
0:01:16 > 0:01:21- This is the first time - we've talked without the mask.
0:01:21 > 0:01:23- How does it feel?
0:01:23 > 0:01:26- How does it feel?- - Fine. I'm still using it.
0:01:28 > 0:01:30- You still have to use it?
0:01:32 > 0:01:35- Elen the pharmacist - has read her notes.
0:01:36 > 0:01:39- A plan is coming together.
0:01:39 > 0:01:42- He has been poorly.
0:01:42 > 0:01:47- He has a drip to give him what he - usually gets through the blue pump.
0:01:48 > 0:01:52- That's more effective - than if it goes to his lungs.
0:01:52 > 0:01:55- I knew he hadn't been well.
0:01:55 > 0:02:00- It's good that he isn't - on that one now.
0:02:01 > 0:02:04- He's improved since he's been here.
0:02:04 > 0:02:07- He's on a combination of medication.
0:02:08 > 0:02:13- The blue pump - is for salbutamol and ipratropium.
0:02:14 > 0:02:17- That helps to dry - secretions in his lungs.
0:02:17 > 0:02:21- He's also on steroids - through the drip.
0:02:21 > 0:02:25- He's not well enough - to take tablets.
0:02:26 > 0:02:31- We hope he can go back - on the tablets today.
0:02:33 > 0:02:36- Tilly has been on Dewi Ward - for a day.
0:02:37 > 0:02:41- You'll never have - this problem again, will you?
0:02:42 > 0:02:45- But she isn't much better.
0:02:46 > 0:02:48- She is here on holiday.
0:02:48 > 0:02:53- They arrived on Sunday, - but she hasn't been well.
0:02:53 > 0:02:57- They came here yesterday - because she had a bad tummy.
0:02:58 > 0:03:01- She is having her appendix - taken out.
0:03:03 > 0:03:06- She's a little bit upset...
0:03:06 > 0:03:09- ..and worried about - what's happening.
0:03:10 > 0:03:13- We're telling her - she'll feel better.
0:03:13 > 0:03:18- There are scheduled operations - as well as the emergencies.
0:03:20 > 0:03:22- That's what Alun is having.
0:03:24 > 0:03:27- Alun has come all the way - from Dinas Mawddwy.
0:03:34 > 0:03:38- He's having two teeth taken out.
0:03:38 > 0:03:41- What is Alun's condition?
0:03:41 > 0:03:43- Cerebral palsy.
0:03:43 > 0:03:46- Cerebral palsy.- - Having his teeth extracted is hard.
0:03:46 > 0:03:47- Yes.
0:03:48 > 0:03:53- He'll have to be - under general anaesthetic.
0:03:54 > 0:03:56- Won't you?
0:03:57 > 0:03:59- Where have you come from?
0:03:59 > 0:04:01- Dinas Mawddwy.
0:04:02 > 0:04:04- What time did you get up?
0:04:04 > 0:04:06- Half past five.
0:04:07 > 0:04:12- It was early - and we didn't have breakfast.
0:04:13 > 0:04:15- Alun likes his breakfast.
0:04:16 > 0:04:18- He likes food!
0:04:19 > 0:04:19- He likes his food.
0:04:19 > 0:04:22- He likes his food.- - Yes.
0:04:24 > 0:04:27- We'll eat later.
0:04:32 > 0:04:35- The porter plays - an important role...
0:04:35 > 0:04:40- ..especially - if a patient is worried.
0:04:45 > 0:04:48- I help them relax.
0:04:48 > 0:04:51- It's stressful for a child.
0:04:52 > 0:04:54- I try to humour them.
0:04:55 > 0:04:57- We chat and I try to relax them.
0:04:58 > 0:05:00- What tricks do you use?
0:05:01 > 0:05:04- I ask which football team - they support...
0:05:05 > 0:05:07- ..and see how the conversation goes.
0:05:09 > 0:05:14- Then I ask what they want - to be when they grow up.
0:05:14 > 0:05:16- I take it from there.
0:05:16 > 0:05:20- If they don't want to talk, - I leave them alone.
0:05:22 > 0:05:26- I reckon Tilly wants - to be left alone, Dilwyn.
0:05:26 > 0:05:28- But you're welcome to try and help.
0:05:29 > 0:05:30- TILLY CRIES
0:05:31 > 0:05:35- You did it last night - and it didn't hurt.
0:05:35 > 0:05:41- You have to have it done - so we can sort your belly out.
0:05:42 > 0:05:46- She needed another blood test - before theatre.
0:05:46 > 0:05:50- She had a cannula last night, - and it frightened her.
0:05:51 > 0:05:54- We persuaded her - that the test was important.
0:05:54 > 0:05:58- She said she was worried - that she was going to die...
0:05:58 > 0:06:02- ..because of what - she has seen on TV.
0:06:03 > 0:06:07- Do you want any toys - to come up with you?
0:06:07 > 0:06:10- Don't worry. You're OK, you know.
0:06:11 > 0:06:17- We explained to her that TV dramas - are not true to life.
0:06:18 > 0:06:22- That's why programmes - like this one are made...
0:06:23 > 0:06:26- ..to show the good work - hospitals do.
0:06:27 > 0:06:29- Not everyone is seriously ill.
0:06:29 > 0:06:31- What has she been watching?
0:06:32 > 0:06:35- Something on the BBC.
0:06:38 > 0:06:40- Does it end in City?!
0:06:40 > 0:06:42- Does it end in City?!- - Yes!
0:06:42 > 0:06:45- It frightened her.
0:06:46 > 0:06:50- She thought everyone in hospital - was very ill.
0:06:51 > 0:06:53- What did her mother say?
0:06:53 > 0:06:57- She never imagined - she'd think such a thing.
0:06:57 > 0:07:02- She understands a bit - about what is going on.
0:07:03 > 0:07:07- But she doesn't quite - understand everything.
0:07:07 > 0:07:11- She didn't tell her mother - how worried she was.
0:07:11 > 0:07:14- What is your message to children?
0:07:15 > 0:07:18- Not everyone who comes - to hospital is seriously ill.
0:07:19 > 0:07:22- We're all lovely, - and we do our best to help you.
0:07:34 > 0:07:39- Unlike Tilly, Alun has had - medication to make him sleepy.
0:07:40 > 0:07:45- It makes his journey to theatre - a lot less stressful.
0:08:17 > 0:08:22- Alun is fast asleep by the time - they reach the fish tank.
0:08:47 > 0:08:49- One, two, three.
0:08:50 > 0:08:53- It's rough to have your teeth - taken out.
0:08:53 > 0:08:57- But this team of specialists - are old hands at it.
0:09:02 > 0:09:06- The teeth are out in a flash. - Alun is blissfully unaware.
0:09:10 > 0:09:12- There we are. Two roots, that's why.
0:09:14 > 0:09:15- Excellent.
0:09:16 > 0:09:18- Does the cracking go through you?
0:09:18 > 0:09:22- It doesn't go through me! - It probably does to other people.
0:09:22 > 0:09:26- You can see the benefit the children - have under general anaesthetic.
0:09:27 > 0:09:32- Can you imagine trying to do this - under local anaesthetic?
0:09:32 > 0:09:36- Some kids are quite straightforward, - they can take it.
0:09:36 > 0:09:39- A lot of kids find it - quite stressful.
0:09:39 > 0:09:43- Trying to keep things calm - is really important.
0:09:44 > 0:09:47- Sometimes they have to come back.
0:09:47 > 0:09:49- We see them about three times - over the year.
0:09:49 > 0:09:51- If we give them a nice experience - when they come in...
0:09:52 > 0:09:55- ..hopefully it's less frightening - the next time.
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0:10:01 > 0:10:01- Subtitles
0:10:01 > 0:10:03- Subtitles- - Subtitles
0:10:14 > 0:10:19- After two hours in theatre, - Tilly is back, minus her appendix.
0:10:22 > 0:10:28- A patient arrives with his - grandparents and ambulance men.
0:10:30 > 0:10:33- Sister Mel, the inhaler please.
0:10:36 > 0:10:38- Ready for number four?
0:10:40 > 0:10:45- The spray goes in here first - then they breathe through the valve.
0:10:46 > 0:10:50- It's less effective - if we spray it in his mouth.
0:10:50 > 0:10:53- Not even adults can do it.
0:10:54 > 0:10:58- Ready for number six.
0:11:02 > 0:11:05- He struggled by the time - he saw his GP.
0:11:06 > 0:11:09- That's why he had the nebulizer.
0:11:10 > 0:11:13- It helped a lot.
0:11:13 > 0:11:17- He was much better by the time - he came to us. He could talk.
0:11:18 > 0:11:21- He was poorly with the GP - this morning.
0:11:21 > 0:11:26- That's why the ambulance brought - him here. He's come round a bit.
0:11:26 > 0:11:28- He'll have this every hour.
0:11:28 > 0:11:33- The doctors will listen - and check his progress.
0:11:34 > 0:11:38- This is an important question. - Can this little boy count?
0:11:38 > 0:11:40- Can you count?
0:11:40 > 0:11:45- One, two, three, four, five, six, - seven, eight, nine, ten, eleven...
0:11:45 > 0:11:46- OK.
0:11:46 > 0:11:51- ..fifteen, sixteen, seventeen, - eighteen, nineteen, twenty.
0:11:51 > 0:11:52- Well done, Robin.
0:11:52 > 0:11:53- APPLAUSE
0:11:53 > 0:11:55- Very good.
0:11:55 > 0:11:57- Does Robin deserve a sticker, Mel?
0:11:58 > 0:12:00- I'm sure. We'll look for one.
0:12:00 > 0:12:02- Yes?
0:12:02 > 0:12:03- Thanks.
0:12:04 > 0:12:07- Has he had breathing - problems before?
0:12:07 > 0:12:09- Yes, twice.
0:12:10 > 0:12:12- They think it might be asthma.
0:12:15 > 0:12:19- Asthma occurs because the small - pipes we breathe through...
0:12:19 > 0:12:21- ..become narrow.
0:12:21 > 0:12:25- Often, this is - as a response to something.
0:12:26 > 0:12:29- Some children - have breathing problems...
0:12:29 > 0:12:31- ..if they're allergic to cats.
0:12:31 > 0:12:34- But what we usually see - are colds and viruses.
0:12:35 > 0:12:39- A child who doesn't have asthma - gets a runny nose with a cold.
0:12:39 > 0:12:43- A child with asthma becomes - wheezy once they have a cold.
0:12:44 > 0:12:48- A lot of children - are wheezy with a cold...
0:12:48 > 0:12:49- ..but it isn't asthma.
0:12:50 > 0:12:56- It's asthma because - it comes and goes, comes and goes.
0:12:58 > 0:13:02- But we also see - what we call reversibility.
0:13:02 > 0:13:05- We can give medication, - usually the blue pump.
0:13:06 > 0:13:07- The narrowing goes.
0:13:07 > 0:13:12- When we see children in the clinic, - we want to be sure it is asthma.
0:13:13 > 0:13:17- If they're on a long list - of asthma medication...
0:13:17 > 0:13:19- ..and still have symptoms..
0:13:19 > 0:13:24- ..the medication should work, - if it is asthma.
0:13:24 > 0:13:28- If children take it regularly - and it is asthma, it should work.
0:13:28 > 0:13:32- We go through the methods - of using the pump.
0:13:32 > 0:13:37- It isn't as easy as people think - to use the pump appropriately.
0:13:37 > 0:13:42- But if we're fairly confident - they're using the pump properly...
0:13:42 > 0:13:46- ..and it still doesn't work, - we have to think, is it asthma?
0:13:47 > 0:13:49- Or are we missing something?
0:13:49 > 0:13:54- Maybe the treatment isn't working - because it isn't asthma.
0:13:54 > 0:13:59- There was no doubt that Tilly's - swollen appendix had to be removed.
0:13:59 > 0:14:01- Things will get better now.
0:14:09 > 0:14:12- Hopefully, that'll be - the end of the pain now.
0:14:13 > 0:14:18- The big question is, will you ever - come to North Wales on holiday?
0:14:18 > 0:14:22- We'll have to. - We've got a caravan here!
0:14:24 > 0:14:26- Alun is back too.
0:14:26 > 0:14:27- He missed breakfast.
0:14:27 > 0:14:31- Mam has made sure there's food - for him when he wakes up.
0:14:35 > 0:14:36- Is everything alright?
0:14:36 > 0:14:38- Is everything alright?- - Yes, brilliant, I think.
0:14:39 > 0:14:40- I hope!
0:14:40 > 0:14:42- How many teeth were extracted?
0:14:42 > 0:14:43- How many teeth were extracted?- - Two.
0:14:46 > 0:14:49- What are you looking forward to now?
0:14:49 > 0:14:51- To see him wake up, drink and eat.
0:14:53 > 0:14:55- And go home, I hope.
0:15:09 > 0:15:13- Robin, are you sure you're the - little boy who was ill this morning?
0:15:14 > 0:15:16- How would you describe Robin now?
0:15:16 > 0:15:18- Full of beans!
0:15:19 > 0:15:21- He doesn't want to stop.
0:15:22 > 0:15:23- Where's Mam?
0:15:24 > 0:15:26- She's on the way back - from Birmingham.
0:15:26 > 0:15:30- She went on a course. - She works in a bank.
0:15:30 > 0:15:35- She was supposed to be there - but had to cancel it, to come back.
0:15:35 > 0:15:40- How did your conversation with her - go? This has happened before.
0:15:40 > 0:15:43- She said she was - coming back immediately.
0:15:43 > 0:15:46- I said, "We've been - through this before.
0:15:46 > 0:15:49- "We should be home by teatime."
0:15:51 > 0:15:53- But she didn't want to hear that.
0:15:53 > 0:15:55- She was coming back anyway.
0:15:56 > 0:15:59- She should be here in half an hour.
0:16:01 > 0:16:02- She's on her way.
0:16:03 > 0:16:04- Oh!
0:16:07 > 0:16:08- Oh!
0:16:15 > 0:16:19- Tilly's family has arrived - from the caravan in Penrhos.
0:16:22 > 0:16:25- They're on their way home - to Liverpool.
0:16:27 > 0:16:32- But the brothers wanted to check - their sister was alright first.
0:16:39 > 0:16:41- When are you coming out?
0:16:41 > 0:16:44- We don't know yet. - Hopefully, tomorrow.
0:16:44 > 0:16:47- Does it hurt - when you put your legs down?
0:16:47 > 0:16:50- When you straighten your legs a bit?
0:16:53 > 0:16:56- Have you missed all these boys?
0:16:56 > 0:16:58- Kind of.
0:17:00 > 0:17:03- I think she has, - because she's been bored.
0:17:03 > 0:17:07- You missed your ice cream, - your sticky toffee pudding.
0:17:15 > 0:17:20- It took three hours for Robin's - mother to travel from Birmingham.
0:17:20 > 0:17:24- She's looking forward - to seeing her son.
0:17:30 > 0:17:32- Robin, hello!
0:17:33 > 0:17:35- Hi.
0:17:36 > 0:17:37- Say hello to Mam.
0:17:37 > 0:17:38- Say hello to Mam.- - A kiss for Mam?
0:17:38 > 0:17:40- A hug!
0:17:41 > 0:17:42- Are you alright?
0:17:42 > 0:17:43- Yes.
0:17:43 > 0:17:45- Have you been ill?
0:17:45 > 0:17:46- Did the doctor make you better?
0:17:46 > 0:17:47- Did the doctor make you better?- - Yes.
0:17:48 > 0:17:50- Are you playing games now?
0:17:50 > 0:17:51- You must be better.
0:17:51 > 0:17:52- You must be better.- - Yes.
0:17:52 > 0:17:54- A kiss for Mam?
0:17:55 > 0:17:56- Love you.
0:17:56 > 0:17:57- Love you.
0:17:58 > 0:17:59- Go, go!
0:17:59 > 0:18:01- Go!
0:18:01 > 0:18:03- Do you want Mam to go?
0:18:04 > 0:18:08- I said it'd be OK - if you stayed on the course.
0:18:08 > 0:18:13- Yes, but what mother would stay in - Birmingham while her son was sick?
0:18:13 > 0:18:14- You can go back now!
0:18:15 > 0:18:16- It doesn't matter.
0:18:18 > 0:18:20- I'm glad he's alright, anyway.
0:18:20 > 0:18:21- One, two, three.
0:18:22 > 0:18:24- I hope we'll go home tonight.
0:18:24 > 0:18:25- One, two, three.
0:18:26 > 0:18:28- Robs, do you want to go home?
0:18:28 > 0:18:29- Robs, do you want to go home?- - No.
0:18:29 > 0:18:31- OK. Do you like the hospital?
0:18:31 > 0:18:34- We'll have to get - this game for you at home.
0:18:36 > 0:18:39- Alun has come round - and he's had breakfast.
0:18:40 > 0:18:43- You're awake now, aren't you, Al?
0:18:43 > 0:18:45- You've had food and a drink.
0:18:45 > 0:18:46- Home now?
0:18:48 > 0:18:50- Home.
0:18:51 > 0:18:54- I don't know - what we'll have tonight.
0:18:55 > 0:18:57- A Chinese meal, maybe.
0:18:57 > 0:18:59- Chicken chow mein.
0:19:00 > 0:19:02- He likes his food, anyway.
0:19:03 > 0:19:07- Now, they're on their way - back to Dinas Mawddwy.
0:19:22 > 0:19:26- It's time for Sister Mel - to do more tests on Robin.
0:19:26 > 0:19:28- Is Robin here?
0:19:29 > 0:19:31- Hello.
0:19:31 > 0:19:33- What are you doing?
0:19:33 > 0:19:34- I've come to check on you.
0:19:34 > 0:19:36- I've come to check on you.- - He's busy playing games.
0:19:36 > 0:19:37- Can I stop the game for a minute?
0:19:37 > 0:19:39- Can I stop the game for a minute?- - Stop for a minute.
0:19:39 > 0:19:40- One, two, three.
0:19:40 > 0:19:42- That's the wrong way.
0:19:42 > 0:19:43- One, two, three...
0:19:44 > 0:19:46- ..four, five, six, stop.
0:19:48 > 0:19:52- Robin, can you put - your finger here to check this?
0:19:52 > 0:19:54- On the light. Good boy.
0:19:55 > 0:19:56- The red light.
0:19:56 > 0:19:57- Yes.
0:19:57 > 0:19:59- Keep it still, remember?
0:19:59 > 0:20:01- I don't want help.
0:20:01 > 0:20:02- OK!
0:20:04 > 0:20:07- Oh, dear, are you still coughing?
0:20:07 > 0:20:11- That's it. His Sat is 98 now. - It's much better.
0:20:11 > 0:20:13- What was it when you arrived?
0:20:13 > 0:20:15- It was 95.
0:20:15 > 0:20:16- What's that?
0:20:16 > 0:20:18- Do you remember where this goes?
0:20:18 > 0:20:19- Do you remember where this goes?- - Ear?
0:20:19 > 0:20:21- Can I put it in this ear now?
0:20:23 > 0:20:26- Very good. - That's fine too, no temperature.
0:20:26 > 0:20:29- I'm going to tell the doctor. - Can I take this?
0:20:30 > 0:20:31- Thanks.
0:20:32 > 0:20:35- Wait a bit, then the doctor - will come to find you.
0:20:35 > 0:20:36- Thanks.
0:20:36 > 0:20:37- Thanks.- - OK.
0:20:39 > 0:20:41- BACKGROUND CONVERSATION
0:20:47 > 0:20:50- The doctor has - just listened to Robin.
0:20:51 > 0:20:55- Unfortunately, after two hours, - he's wheezy again.
0:20:55 > 0:20:58- He's just had the inhaler again.
0:20:58 > 0:21:02- We're starting from scratch now. - We'll wait two more hours.
0:21:02 > 0:21:05- The doctor will listen to his chest.
0:21:05 > 0:21:09- If it's clear, we hope to go - on for three, then four hours.
0:21:09 > 0:21:13- If he reaches four hours - without needing the inhaler...
0:21:14 > 0:21:16- ..he can go home later.
0:21:16 > 0:21:20- He'll take an inhaler - and steroids with him...
0:21:20 > 0:21:22- ..and finish the course at home.
0:21:35 > 0:21:37- The doctor has just been.
0:21:37 > 0:21:40- It's 9.30pm, - so we're ready to go home.
0:21:40 > 0:21:45- We're waiting for a pump and - steroids for Robin to have tomorrow.
0:21:45 > 0:21:47- We'll monitor him every four hours.
0:21:48 > 0:21:50- We hope he'll be better now.
0:21:50 > 0:21:53- Are you looking forward - to going home?
0:21:53 > 0:21:54- Yes.
0:21:54 > 0:21:56- Are you tired?
0:21:57 > 0:21:58- To see Nain.
0:22:00 > 0:22:01- Oh!
0:22:02 > 0:22:03- I'm tired.
0:22:04 > 0:22:06- Do you want to go home now?
0:22:06 > 0:22:07- We'll go home.
0:22:09 > 0:22:14- The little boy who arrived - in the care of the ambulance men...
0:22:14 > 0:22:16- ..is going home with Mam and Dad.
0:22:16 > 0:22:19- Goodnight, Robin. Sleep tight.
0:22:24 > 0:22:29- A fortnight after her operation, - Tilly went to Disneyland...
0:22:29 > 0:22:33- ..but she couldn't go - on the attractions.
0:22:34 > 0:22:39- Alun took a fortnight to recover - after having his teeth removed.
0:22:40 > 0:22:44- Robin is waiting for - an appointment to see Dr Mair Parry.
0:22:44 > 0:22:48- Mam was able to go back - to Birmingham to finish her course!
0:23:09 > 0:23:11- S4C Subtitles by Gwead
0:23:11 > 0:23:12- .