Pennod 6 Ward Plant

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-It's a new morning at

-the children ward in Ysbyty Gwynedd.

-There's a clean bed

-for every new patient.

-Kyle has been in for a week

-after a bad attack of asthma.

-It's breakfast time.

-Who are you texting this early?

-Who are you texting this early?

-

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

-What time is it?

-Twenty to nine.

-When did they move you here?

-Yesterday.

-This is the first time

-we've talked without the mask.

-How does it feel?

-How does it feel?

-

-Fine. I'm still using it.

-You still have to use it?

-Elen the pharmacist

-has read her notes.

-A plan is coming together.

-He has been poorly.

-He has a drip to give him what he

-usually gets through the blue pump.

-That's more effective

-than if it goes to his lungs.

-I knew he hadn't been well.

-It's good that he isn't

-on that one now.

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

-He's on a combination of medication.

-The blue pump

-is for salbutamol and ipratropium.

-That helps to dry

-secretions in his lungs.

-He's also on steroids

-through the drip.

-He's not well enough

-to take tablets.

-We hope he can go back

-on the tablets today.

-Tilly has been on Dewi Ward

-for a day.

-You'll never have

-this problem again, will you?

-But she isn't much better.

-She is here on holiday.

-They arrived on Sunday,

-but she hasn't been well.

-They came here yesterday

-because she had a bad tummy.

-She is having her appendix

-taken out.

-She's a little bit upset...

-..and worried about

-what's happening.

-We're telling her

-she'll feel better.

-There are scheduled operations

-as well as the emergencies.

-That's what Alun is having.

-Alun has come all the way

-from Dinas Mawddwy.

-He's having two teeth taken out.

-What is Alun's condition?

-Cerebral palsy.

-Cerebral palsy.

-

-Having his teeth extracted is hard.

-Yes.

-He'll have to be

-under general anaesthetic.

-Won't you?

-Where have you come from?

-Dinas Mawddwy.

-What time did you get up?

-Half past five.

-It was early

-and we didn't have breakfast.

-Alun likes his breakfast.

-He likes food!

-He likes his food.

-He likes his food.

-

-Yes.

-We'll eat later.

-The porter plays

-an important role...

-..especially

-if a patient is worried.

-I help them relax.

-It's stressful for a child.

-I try to humour them.

-We chat and I try to relax them.

-What tricks do you use?

-I ask which football team

-they support...

-..and see how the conversation goes.

-Then I ask what they want

-to be when they grow up.

-I take it from there.

-If they don't want to talk,

-I leave them alone.

-I reckon Tilly wants

-to be left alone, Dilwyn.

-But you're welcome to try and help.

-TILLY CRIES

-You did it last night

-and it didn't hurt.

-You have to have it done

-so we can sort your belly out.

-She needed another blood test

-before theatre.

-She had a cannula last night,

-and it frightened her.

-We persuaded her

-that the test was important.

-She said she was worried

-that she was going to die...

-..because of what

-she has seen on TV.

-Do you want any toys

-to come up with you?

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

-We explained to her that TV dramas

-are not true to life.

-That's why programmes

-like this one are made...

-..to show the good work

-hospitals do.

-Not everyone is seriously ill.

-What has she been watching?

-Something on the BBC.

-Does it end in City?!

-Does it end in City?!

-

-Yes!

-It frightened her.

-She thought everyone in hospital

-was very ill.

-What did her mother say?

-She never imagined

-she'd think such a thing.

-She understands a bit

-about what is going on.

-But she doesn't quite

-understand everything.

-She didn't tell her mother

-how worried she was.

-What is your message to children?

-Not everyone who comes

-to hospital is seriously ill.

-We're all lovely,

-and we do our best to help you.

-Unlike Tilly, Alun has had

-medication to make him sleepy.

-It makes his journey to theatre

-a lot less stressful.

-Alun is fast asleep by the time

-they reach the fish tank.

-One, two, three.

-It's rough to have your teeth

-taken out.

-But this team of specialists

-are old hands at it.

-The teeth are out in a flash.

-Alun is blissfully unaware.

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

-Excellent.

-Does the cracking go through you?

-It doesn't go through me!

-It probably does to other people.

-You can see the benefit the children

-have under general anaesthetic.

-Can you imagine trying to do this

-under local anaesthetic?

-Some kids are quite straightforward,

-they can take it.

-A lot of kids find it

-quite stressful.

-Trying to keep things calm

-is really important.

-Sometimes they have to come back.

-We see them about three times

-over the year.

-If we give them a nice experience

-when they come in...

-..hopefully it's less frightening

-the next time.

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-After two hours in theatre,

-Tilly is back, minus her appendix.

-A patient arrives with his

-grandparents and ambulance men.

-Sister Mel, the inhaler please.

-Ready for number four?

-The spray goes in here first

-then they breathe through the valve.

-It's less effective

-if we spray it in his mouth.

-Not even adults can do it.

-Ready for number six.

-He struggled by the time

-he saw his GP.

-That's why he had the nebulizer.

-It helped a lot.

-He was much better by the time

-he came to us. He could talk.

-He was poorly with the GP

-this morning.

-That's why the ambulance brought

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

-He'll have this every hour.

-The doctors will listen

-and check his progress.

-This is an important question.

-Can this little boy count?

-Can you count?

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

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

-OK.

-..fifteen, sixteen, seventeen,

-eighteen, nineteen, twenty.

-Well done, Robin.

-APPLAUSE

-Very good.

-Does Robin deserve a sticker, Mel?

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

-Yes?

-Thanks.

-Has he had breathing

-problems before?

-Yes, twice.

-They think it might be asthma.

-Asthma occurs because the small

-pipes we breathe through...

-..become narrow.

-Often, this is

-as a response to something.

-Some children

-have breathing problems...

-..if they're allergic to cats.

-But what we usually see

-are colds and viruses.

-A child who doesn't have asthma

-gets a runny nose with a cold.

-A child with asthma becomes

-wheezy once they have a cold.

-A lot of children

-are wheezy with a cold...

-..but it isn't asthma.

-It's asthma because

-it comes and goes, comes and goes.

-But we also see

-what we call reversibility.

-We can give medication,

-usually the blue pump.

-The narrowing goes.

-When we see children in the clinic,

-we want to be sure it is asthma.

-If they're on a long list

-of asthma medication...

-..and still have symptoms..

-..the medication should work,

-if it is asthma.

-If children take it regularly

-and it is asthma, it should work.

-We go through the methods

-of using the pump.

-It isn't as easy as people think

-to use the pump appropriately.

-But if we're fairly confident

-they're using the pump properly...

-..and it still doesn't work,

-we have to think, is it asthma?

-Or are we missing something?

-Maybe the treatment isn't working

-because it isn't asthma.

-There was no doubt that Tilly's

-swollen appendix had to be removed.

-Things will get better now.

-Hopefully, that'll be

-the end of the pain now.

-The big question is, will you ever

-come to North Wales on holiday?

-We'll have to.

-We've got a caravan here!

-Alun is back too.

-He missed breakfast.

-Mam has made sure there's food

-for him when he wakes up.

-Is everything alright?

-Is everything alright?

-

-Yes, brilliant, I think.

-I hope!

-How many teeth were extracted?

-How many teeth were extracted?

-

-Two.

-What are you looking forward to now?

-To see him wake up, drink and eat.

-And go home, I hope.

-Robin, are you sure you're the

-little boy who was ill this morning?

-How would you describe Robin now?

-Full of beans!

-He doesn't want to stop.

-Where's Mam?

-She's on the way back

-from Birmingham.

-She went on a course.

-She works in a bank.

-She was supposed to be there

-but had to cancel it, to come back.

-How did your conversation with her

-go? This has happened before.

-She said she was

-coming back immediately.

-I said, "We've been

-through this before.

-"We should be home by teatime."

-But she didn't want to hear that.

-She was coming back anyway.

-She should be here in half an hour.

-She's on her way.

-Oh!

-Oh!

-Tilly's family has arrived

-from the caravan in Penrhos.

-They're on their way home

-to Liverpool.

-But the brothers wanted to check

-their sister was alright first.

-When are you coming out?

-We don't know yet.

-Hopefully, tomorrow.

-Does it hurt

-when you put your legs down?

-When you straighten your legs a bit?

-Have you missed all these boys?

-Kind of.

-I think she has,

-because she's been bored.

-You missed your ice cream,

-your sticky toffee pudding.

-It took three hours for Robin's

-mother to travel from Birmingham.

-She's looking forward

-to seeing her son.

-Robin, hello!

-Hi.

-Say hello to Mam.

-Say hello to Mam.

-

-A kiss for Mam?

-A hug!

-Are you alright?

-Yes.

-Have you been ill?

-Did the doctor make you better?

-Did the doctor make you better?

-

-Yes.

-Are you playing games now?

-You must be better.

-You must be better.

-

-Yes.

-A kiss for Mam?

-Love you.

-Love you.

-Go, go!

-Go!

-Do you want Mam to go?

-I said it'd be OK

-if you stayed on the course.

-Yes, but what mother would stay in

-Birmingham while her son was sick?

-You can go back now!

-It doesn't matter.

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

-One, two, three.

-I hope we'll go home tonight.

-One, two, three.

-Robs, do you want to go home?

-Robs, do you want to go home?

-

-No.

-OK. Do you like the hospital?

-We'll have to get

-this game for you at home.

-Alun has come round

-and he's had breakfast.

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

-You've had food and a drink.

-Home now?

-Home.

-I don't know

-what we'll have tonight.

-A Chinese meal, maybe.

-Chicken chow mein.

-He likes his food, anyway.

-Now, they're on their way

-back to Dinas Mawddwy.

-It's time for Sister Mel

-to do more tests on Robin.

-Is Robin here?

-Hello.

-What are you doing?

-I've come to check on you.

-I've come to check on you.

-

-He's busy playing games.

-Can I stop the game for a minute?

-Can I stop the game for a minute?

-

-Stop for a minute.

-One, two, three.

-That's the wrong way.

-One, two, three...

-..four, five, six, stop.

-Robin, can you put

-your finger here to check this?

-On the light. Good boy.

-The red light.

-Yes.

-Keep it still, remember?

-I don't want help.

-OK!

-Oh, dear, are you still coughing?

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

-It's much better.

-What was it when you arrived?

-It was 95.

-What's that?

-Do you remember where this goes?

-Do you remember where this goes?

-

-Ear?

-Can I put it in this ear now?

-Very good.

-That's fine too, no temperature.

-I'm going to tell the doctor.

-Can I take this?

-Thanks.

-Wait a bit, then the doctor

-will come to find you.

-Thanks.

-Thanks.

-

-OK.

-BACKGROUND CONVERSATION

-The doctor has

-just listened to Robin.

-Unfortunately, after two hours,

-he's wheezy again.

-He's just had the inhaler again.

-We're starting from scratch now.

-We'll wait two more hours.

-The doctor will listen to his chest.

-If it's clear, we hope to go

-on for three, then four hours.

-If he reaches four hours

-without needing the inhaler...

-..he can go home later.

-He'll take an inhaler

-and steroids with him...

-..and finish the course at home.

-The doctor has just been.

-It's 9.30pm,

-so we're ready to go home.

-We're waiting for a pump and

-steroids for Robin to have tomorrow.

-We'll monitor him every four hours.

-We hope he'll be better now.

-Are you looking forward

-to going home?

-Yes.

-Are you tired?

-To see Nain.

-Oh!

-I'm tired.

-Do you want to go home now?

-We'll go home.

-The little boy who arrived

-in the care of the ambulance men...

-..is going home with Mam and Dad.

-Goodnight, Robin. Sleep tight.

-A fortnight after her operation,

-Tilly went to Disneyland...

-..but she couldn't go

-on the attractions.

-Alun took a fortnight to recover

-after having his teeth removed.

-Robin is waiting for

-an appointment to see Dr Mair Parry.

-Mam was able to go back

-to Birmingham to finish her course!

-S4C Subtitles by Gwead

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