Pennod 6 Ward Plant


Pennod 6

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Transcript


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-It's a new morning at

-the children ward in Ysbyty Gwynedd.

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-There's a clean bed

-for every new patient.

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-Kyle has been in for a week

-after a bad attack of asthma.

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-It's breakfast time.

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-Who are you texting this early?

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-Who are you texting this early?

-

-No-one. I'm playing a game.

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-What time is it?

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-Twenty to nine.

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-When did they move you here?

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-Yesterday.

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-This is the first time

-we've talked without the mask.

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-How does it feel?

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-How does it feel?

-

-Fine. I'm still using it.

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-You still have to use it?

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-Elen the pharmacist

-has read her notes.

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-A plan is coming together.

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-He has been poorly.

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-He has a drip to give him what he

-usually gets through the blue pump.

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-That's more effective

-than if it goes to his lungs.

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-I knew he hadn't been well.

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-It's good that he isn't

-on that one now.

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-He's improved since he's been here.

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-He's on a combination of medication.

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-The blue pump

-is for salbutamol and ipratropium.

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-That helps to dry

-secretions in his lungs.

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-He's also on steroids

-through the drip.

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-He's not well enough

-to take tablets.

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-We hope he can go back

-on the tablets today.

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-Tilly has been on Dewi Ward

-for a day.

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-You'll never have

-this problem again, will you?

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-But she isn't much better.

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-She is here on holiday.

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-They arrived on Sunday,

-but she hasn't been well.

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-They came here yesterday

-because she had a bad tummy.

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-She is having her appendix

-taken out.

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-She's a little bit upset...

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-..and worried about

-what's happening.

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-We're telling her

-she'll feel better.

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-There are scheduled operations

-as well as the emergencies.

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-That's what Alun is having.

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-Alun has come all the way

-from Dinas Mawddwy.

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-He's having two teeth taken out.

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-What is Alun's condition?

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-Cerebral palsy.

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-Cerebral palsy.

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-Having his teeth extracted is hard.

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-Yes.

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-He'll have to be

-under general anaesthetic.

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-Won't you?

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-Where have you come from?

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-Dinas Mawddwy.

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-What time did you get up?

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-Half past five.

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-It was early

-and we didn't have breakfast.

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-Alun likes his breakfast.

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-He likes food!

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-He likes his food.

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-He likes his food.

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-Yes.

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-We'll eat later.

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-The porter plays

-an important role...

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-..especially

-if a patient is worried.

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-I help them relax.

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-It's stressful for a child.

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-I try to humour them.

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-We chat and I try to relax them.

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-What tricks do you use?

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-I ask which football team

-they support...

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-..and see how the conversation goes.

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-Then I ask what they want

-to be when they grow up.

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-I take it from there.

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-If they don't want to talk,

-I leave them alone.

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-I reckon Tilly wants

-to be left alone, Dilwyn.

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-But you're welcome to try and help.

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-TILLY CRIES

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-You did it last night

-and it didn't hurt.

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-You have to have it done

-so we can sort your belly out.

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-She needed another blood test

-before theatre.

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-She had a cannula last night,

-and it frightened her.

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-We persuaded her

-that the test was important.

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-She said she was worried

-that she was going to die...

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-..because of what

-she has seen on TV.

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-Do you want any toys

-to come up with you?

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-Don't worry. You're OK, you know.

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-We explained to her that TV dramas

-are not true to life.

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-That's why programmes

-like this one are made...

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-..to show the good work

-hospitals do.

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-Not everyone is seriously ill.

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-What has she been watching?

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-Something on the BBC.

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-Does it end in City?!

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-Does it end in City?!

-

-Yes!

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-It frightened her.

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-She thought everyone in hospital

-was very ill.

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-What did her mother say?

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-She never imagined

-she'd think such a thing.

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-She understands a bit

-about what is going on.

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-But she doesn't quite

-understand everything.

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-She didn't tell her mother

-how worried she was.

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-What is your message to children?

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-Not everyone who comes

-to hospital is seriously ill.

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-We're all lovely,

-and we do our best to help you.

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-Unlike Tilly, Alun has had

-medication to make him sleepy.

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-It makes his journey to theatre

-a lot less stressful.

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-Alun is fast asleep by the time

-they reach the fish tank.

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-One, two, three.

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-It's rough to have your teeth

-taken out.

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-But this team of specialists

-are old hands at it.

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-The teeth are out in a flash.

-Alun is blissfully unaware.

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-There we are. Two roots, that's why.

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-Excellent.

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-Does the cracking go through you?

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-It doesn't go through me!

-It probably does to other people.

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-You can see the benefit the children

-have under general anaesthetic.

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-Can you imagine trying to do this

-under local anaesthetic?

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-Some kids are quite straightforward,

-they can take it.

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-A lot of kids find it

-quite stressful.

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-Trying to keep things calm

-is really important.

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-Sometimes they have to come back.

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-We see them about three times

-over the year.

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-If we give them a nice experience

-when they come in...

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-..hopefully it's less frightening

-the next time.

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-.

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-After two hours in theatre,

-Tilly is back, minus her appendix.

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-A patient arrives with his

-grandparents and ambulance men.

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-Sister Mel, the inhaler please.

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-Ready for number four?

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-The spray goes in here first

-then they breathe through the valve.

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-It's less effective

-if we spray it in his mouth.

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-Not even adults can do it.

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-Ready for number six.

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-He struggled by the time

-he saw his GP.

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-That's why he had the nebulizer.

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-It helped a lot.

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-He was much better by the time

-he came to us. He could talk.

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-He was poorly with the GP

-this morning.

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-That's why the ambulance brought

-him here. He's come round a bit.

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-He'll have this every hour.

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-The doctors will listen

-and check his progress.

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-This is an important question.

-Can this little boy count?

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-Can you count?

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-One, two, three, four, five, six,

-seven, eight, nine, ten, eleven...

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-OK.

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-..fifteen, sixteen, seventeen,

-eighteen, nineteen, twenty.

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-Well done, Robin.

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-APPLAUSE

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-Very good.

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-Does Robin deserve a sticker, Mel?

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-I'm sure. We'll look for one.

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-Yes?

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-Thanks.

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-Has he had breathing

-problems before?

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-Yes, twice.

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-They think it might be asthma.

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-Asthma occurs because the small

-pipes we breathe through...

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-..become narrow.

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-Often, this is

-as a response to something.

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-Some children

-have breathing problems...

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-..if they're allergic to cats.

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-But what we usually see

-are colds and viruses.

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-A child who doesn't have asthma

-gets a runny nose with a cold.

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-A child with asthma becomes

-wheezy once they have a cold.

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-A lot of children

-are wheezy with a cold...

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-..but it isn't asthma.

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-It's asthma because

-it comes and goes, comes and goes.

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-But we also see

-what we call reversibility.

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-We can give medication,

-usually the blue pump.

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-The narrowing goes.

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-When we see children in the clinic,

-we want to be sure it is asthma.

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-If they're on a long list

-of asthma medication...

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-..and still have symptoms..

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-..the medication should work,

-if it is asthma.

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-If children take it regularly

-and it is asthma, it should work.

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-We go through the methods

-of using the pump.

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-It isn't as easy as people think

-to use the pump appropriately.

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-But if we're fairly confident

-they're using the pump properly...

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-..and it still doesn't work,

-we have to think, is it asthma?

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-Or are we missing something?

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-Maybe the treatment isn't working

-because it isn't asthma.

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-There was no doubt that Tilly's

-swollen appendix had to be removed.

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-Things will get better now.

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-Hopefully, that'll be

-the end of the pain now.

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-The big question is, will you ever

-come to North Wales on holiday?

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-We'll have to.

-We've got a caravan here!

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-Alun is back too.

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-He missed breakfast.

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-Mam has made sure there's food

-for him when he wakes up.

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-Is everything alright?

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-Is everything alright?

-

-Yes, brilliant, I think.

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-I hope!

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-How many teeth were extracted?

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-How many teeth were extracted?

-

-Two.

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-What are you looking forward to now?

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-To see him wake up, drink and eat.

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-And go home, I hope.

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-Robin, are you sure you're the

-little boy who was ill this morning?

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-How would you describe Robin now?

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-Full of beans!

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-He doesn't want to stop.

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-Where's Mam?

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-She's on the way back

-from Birmingham.

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-She went on a course.

-She works in a bank.

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-She was supposed to be there

-but had to cancel it, to come back.

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-How did your conversation with her

-go? This has happened before.

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-She said she was

-coming back immediately.

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-I said, "We've been

-through this before.

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-"We should be home by teatime."

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-But she didn't want to hear that.

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-She was coming back anyway.

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-She should be here in half an hour.

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-She's on her way.

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-Oh!

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-Oh!

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-Tilly's family has arrived

-from the caravan in Penrhos.

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-They're on their way home

-to Liverpool.

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-But the brothers wanted to check

-their sister was alright first.

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-When are you coming out?

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-We don't know yet.

-Hopefully, tomorrow.

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-Does it hurt

-when you put your legs down?

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-When you straighten your legs a bit?

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-Have you missed all these boys?

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-Kind of.

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-I think she has,

-because she's been bored.

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-You missed your ice cream,

-your sticky toffee pudding.

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-It took three hours for Robin's

-mother to travel from Birmingham.

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-She's looking forward

-to seeing her son.

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-Robin, hello!

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-Hi.

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-Say hello to Mam.

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-Say hello to Mam.

-

-A kiss for Mam?

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-A hug!

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-Are you alright?

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-Yes.

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-Have you been ill?

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-Did the doctor make you better?

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-Did the doctor make you better?

-

-Yes.

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-Are you playing games now?

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-You must be better.

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-You must be better.

-

-Yes.

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-A kiss for Mam?

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-Love you.

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-Love you.

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-Go, go!

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-Go!

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-Do you want Mam to go?

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-I said it'd be OK

-if you stayed on the course.

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-Yes, but what mother would stay in

-Birmingham while her son was sick?

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-You can go back now!

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-It doesn't matter.

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-I'm glad he's alright, anyway.

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-One, two, three.

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-I hope we'll go home tonight.

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-One, two, three.

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-Robs, do you want to go home?

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-Robs, do you want to go home?

-

-No.

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-OK. Do you like the hospital?

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-We'll have to get

-this game for you at home.

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-Alun has come round

-and he's had breakfast.

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-You're awake now, aren't you, Al?

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-You've had food and a drink.

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-Home now?

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-Home.

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-I don't know

-what we'll have tonight.

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-A Chinese meal, maybe.

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-Chicken chow mein.

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-He likes his food, anyway.

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-Now, they're on their way

-back to Dinas Mawddwy.

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-It's time for Sister Mel

-to do more tests on Robin.

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-Is Robin here?

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-Hello.

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-What are you doing?

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-I've come to check on you.

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-I've come to check on you.

-

-He's busy playing games.

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-Can I stop the game for a minute?

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-Can I stop the game for a minute?

-

-Stop for a minute.

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-One, two, three.

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-That's the wrong way.

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-One, two, three...

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-..four, five, six, stop.

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-Robin, can you put

-your finger here to check this?

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-On the light. Good boy.

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-The red light.

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-Yes.

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-Keep it still, remember?

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-I don't want help.

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-OK!

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-Oh, dear, are you still coughing?

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-That's it. His Sat is 98 now.

-It's much better.

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-What was it when you arrived?

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-It was 95.

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-What's that?

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-Do you remember where this goes?

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-Do you remember where this goes?

-

-Ear?

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-Can I put it in this ear now?

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-Very good.

-That's fine too, no temperature.

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-I'm going to tell the doctor.

-Can I take this?

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-Thanks.

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-Wait a bit, then the doctor

-will come to find you.

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-Thanks.

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-Thanks.

-

-OK.

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-BACKGROUND CONVERSATION

0:20:390:20:41

-The doctor has

-just listened to Robin.

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-Unfortunately, after two hours,

-he's wheezy again.

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-He's just had the inhaler again.

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-We're starting from scratch now.

-We'll wait two more hours.

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-The doctor will listen to his chest.

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-If it's clear, we hope to go

-on for three, then four hours.

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-If he reaches four hours

-without needing the inhaler...

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-..he can go home later.

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-He'll take an inhaler

-and steroids with him...

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-..and finish the course at home.

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-The doctor has just been.

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-It's 9.30pm,

-so we're ready to go home.

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-We're waiting for a pump and

-steroids for Robin to have tomorrow.

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-We'll monitor him every four hours.

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-We hope he'll be better now.

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-Are you looking forward

-to going home?

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-Yes.

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-Are you tired?

0:21:540:21:56

-To see Nain.

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-Oh!

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-I'm tired.

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-Do you want to go home now?

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-We'll go home.

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-The little boy who arrived

-in the care of the ambulance men...

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-..is going home with Mam and Dad.

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-Goodnight, Robin. Sleep tight.

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-A fortnight after her operation,

-Tilly went to Disneyland...

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-..but she couldn't go

-on the attractions.

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-Alun took a fortnight to recover

-after having his teeth removed.

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-Robin is waiting for

-an appointment to see Dr Mair Parry.

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-Mam was able to go back

-to Birmingham to finish her course!

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