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-The season has changed outside -Ysbyty Gwynedd's children ward. | 0:00:21 | 0:00:26 | |
-It's cold and wet. | 0:00:26 | 0:00:28 | |
-It's the ideal conditions -to catch a cold. | 0:00:29 | 0:00:33 | |
-This is Erin Haf. | 0:00:38 | 0:00:41 | |
-She has bronchiolitis. -We thought it was just a cold. | 0:00:42 | 0:00:46 | |
-She was coughing. -We brought her in on Thursday. | 0:00:47 | 0:00:51 | |
-She's been here ever since. -They're checking her oxygen levels. | 0:00:52 | 0:00:57 | |
-She's on oxygen to help her breathe. | 0:00:57 | 0:01:00 | |
-Erin is tiny. How old is she? | 0:01:01 | 0:01:05 | |
-Four months. | 0:01:05 | 0:01:08 | |
-Is this her first visit? | 0:01:09 | 0:01:11 | |
-Is this her first visit? - -Yes, to hospital. | 0:01:11 | 0:01:13 | |
-She has a twin brother. | 0:01:13 | 0:01:17 | |
-He was in hospital -when he was nine days old. | 0:01:18 | 0:01:22 | |
-He wasn't breathing properly. | 0:01:23 | 0:01:25 | |
-He was on oxygen. | 0:01:26 | 0:01:29 | |
-He has been coughing, too. | 0:01:31 | 0:01:34 | |
-We hope he doesn't have to come in, -too. | 0:01:34 | 0:01:37 | |
-He seems OK at the moment. | 0:01:38 | 0:01:41 | |
-She has oxygen up her nose. | 0:01:44 | 0:01:47 | |
-That helps her oxygen levels -and her breathing. | 0:01:47 | 0:01:52 | |
-She was breathing heavily -and more fiercely than now. | 0:01:52 | 0:01:57 | |
-She has a drip in her hand. | 0:01:58 | 0:02:01 | |
-The tube in her nose feeds her. | 0:02:02 | 0:02:05 | |
-She has a feed every hour -through the drip and her nose. | 0:02:06 | 0:02:11 | |
-You look exhausted. | 0:02:12 | 0:02:14 | |
-You look exhausted. - -I am. | 0:02:14 | 0:02:16 | |
-How long has this been going on? | 0:02:17 | 0:02:19 | |
-How long has this been going on? - -Over a week. | 0:02:19 | 0:02:20 | |
-How are you managing? | 0:02:20 | 0:02:22 | |
-How are you managing? - -Kim's mother is looking after them. | 0:02:22 | 0:02:24 | |
-She's very good like that. | 0:02:24 | 0:02:26 | |
-We pop over every now and then -to check on them. | 0:02:27 | 0:02:30 | |
-We had tea there last night... | 0:02:30 | 0:02:32 | |
-..so we could spend time -with her brother and sister. | 0:02:33 | 0:02:37 | |
-They're fine. The eldest has a cold. | 0:02:37 | 0:02:41 | |
-The little one has a cough, too. | 0:02:41 | 0:02:44 | |
-We give them Calpol and Ibuprofen... | 0:02:45 | 0:02:49 | |
-..and plenty of medication... | 0:02:52 | 0:02:55 | |
-..to help them. | 0:02:56 | 0:02:58 | |
-Right, then. Are you OK? | 0:03:01 | 0:03:03 | |
-My hands are cold. | 0:03:08 | 0:03:10 | |
-It's OK. | 0:03:14 | 0:03:16 | |
-My hands are too cold to touch her. | 0:03:16 | 0:03:19 | |
-She's nice and warm. | 0:03:19 | 0:03:21 | |
-Is this common in babies? | 0:03:21 | 0:03:23 | |
-Is this common in babies? - -Yes. | 0:03:23 | 0:03:24 | |
-From November to March, really... | 0:03:25 | 0:03:29 | |
-..we see a lot of babies, -up to one year of age. | 0:03:30 | 0:03:34 | |
-They have bronchiliotis. | 0:03:34 | 0:03:37 | |
-When adults cough... | 0:03:37 | 0:03:42 | |
-..we get rid of the secretions. | 0:03:42 | 0:03:45 | |
-Unfortunately, -babies can't get rid of it. | 0:03:45 | 0:03:49 | |
-They need the support of machines. | 0:03:50 | 0:03:53 | |
-Erin is on the Bubble CPAP machine. | 0:03:54 | 0:03:58 | |
-It's a new machine. | 0:03:59 | 0:04:01 | |
-She's only the second patient -to use it this year. | 0:04:01 | 0:04:05 | |
-It supports her breathing. | 0:04:05 | 0:04:08 | |
-It delivers humidified oxygen, -oxygen that's warm. | 0:04:09 | 0:04:14 | |
-That goes in her nose -and through her whole system. | 0:04:16 | 0:04:20 | |
-Erin is much better. | 0:04:20 | 0:04:22 | |
-She had to work hard earlier on. | 0:04:23 | 0:04:25 | |
-We put her on this machine -to give her a rest. | 0:04:25 | 0:04:29 | |
-We feed her through her nose. | 0:04:31 | 0:04:33 | |
-Usually, it's orally, but -they can have it through the nose. | 0:04:34 | 0:04:38 | |
-She can't feed. | 0:04:38 | 0:04:42 | |
-That's why she gets it -through her nose. | 0:04:42 | 0:04:46 | |
-She's much better. -Her breathing has greatly improved. | 0:04:46 | 0:04:51 | |
-Mam and Dad are quite happy -with her progress. | 0:04:51 | 0:04:54 | |
-She's doing really well. -We're chuffed. | 0:04:55 | 0:04:58 | |
-How do you comfort anxious parents? | 0:04:58 | 0:05:03 | |
-We tell them it isn't their fault. -A lot of parents blame themselves. | 0:05:04 | 0:05:09 | |
-They worry they should have done -something sooner to prevent it. | 0:05:10 | 0:05:15 | |
-But there's nothing -they could have done. | 0:05:15 | 0:05:18 | |
-It's one of those things. We can't -help it when we catch a cold. | 0:05:19 | 0:05:23 | |
-Babies need the support. | 0:05:24 | 0:05:26 | |
-A lot of children get it. | 0:05:27 | 0:05:29 | |
-She'll be fine and -will have the best possible care. | 0:05:30 | 0:05:34 | |
-The ward is filling up with children -suffering from winter illnesses. | 0:05:39 | 0:05:44 | |
-The nurses are used to it. | 0:05:45 | 0:05:47 | |
-This is Sara. | 0:05:49 | 0:05:51 | |
-She has been coughing all night. | 0:05:52 | 0:05:55 | |
-She's had nebulizers. | 0:05:56 | 0:05:58 | |
-Haven't you? | 0:06:00 | 0:06:02 | |
-You've been brave. | 0:06:02 | 0:06:05 | |
-She's on oxygen. | 0:06:06 | 0:06:10 | |
-Her Sats are down. She's doing well. | 0:06:10 | 0:06:15 | |
-She'll have an X-ray later. | 0:06:15 | 0:06:18 | |
-What are the Sats down to? | 0:06:19 | 0:06:22 | |
-They went down to 86 or 87. | 0:06:22 | 0:06:26 | |
-She's had oxygen, nebulizers -and everyone is looking after her. | 0:06:27 | 0:06:33 | |
-You've been brilliant. | 0:06:35 | 0:06:37 | |
-Where did Dad sleep last night? | 0:06:37 | 0:06:40 | |
-There. | 0:06:40 | 0:06:42 | |
-Did he sleep at all? | 0:06:43 | 0:06:45 | |
-A little. | 0:06:46 | 0:06:48 | |
-Did you cough all night? | 0:06:48 | 0:06:51 | |
-No. | 0:06:52 | 0:06:53 | |
-Dad fell asleep in the chair. | 0:06:54 | 0:06:58 | |
-Dad was here, wasn't he? | 0:06:59 | 0:07:01 | |
-She's had a cold for a few days. | 0:07:02 | 0:07:05 | |
-She's asthmatic, too. | 0:07:06 | 0:07:08 | |
-At some point, if the cold worsens, -the cold takes over. | 0:07:08 | 0:07:13 | |
-She can't breathe. | 0:07:13 | 0:07:16 | |
-It's the same old story, -coming to Bangor to be looked after. | 0:07:19 | 0:07:23 | |
-She's had more steroids -and nebulizers. | 0:07:24 | 0:07:28 | |
-We didn't need anything -intravenously yet, thank goodness. | 0:07:28 | 0:07:32 | |
-That's a relief. | 0:07:34 | 0:07:37 | |
-You sound like you're an old hand. | 0:07:40 | 0:07:43 | |
-This is my fortieth or fiftieth -time here. | 0:07:44 | 0:07:50 | |
-It's something like that. | 0:07:51 | 0:07:53 | |
-We take it in our stride. | 0:07:53 | 0:07:57 | |
-We know all the criteria -with the asthma. | 0:07:57 | 0:08:01 | |
-In a couple of days, -we'll be back home. | 0:08:04 | 0:08:08 | |
-Won't we, babes? | 0:08:09 | 0:08:11 | |
-I want to play. | 0:08:12 | 0:08:14 | |
-Anti Steph has to go home -to her children. | 0:08:14 | 0:08:18 | |
-I'll see you soon. | 0:08:20 | 0:08:22 | |
-High five. Good girl. | 0:08:23 | 0:08:25 | |
-Say thank you. | 0:08:25 | 0:08:26 | |
-Say thank you. - -Thank you. | 0:08:26 | 0:08:27 | |
-I'll see you again. -You've been brilliant. | 0:08:27 | 0:08:31 | |
-OK? | 0:08:31 | 0:08:32 | |
-Will you bring me a sticker? | 0:08:32 | 0:08:36 | |
-Yes. | 0:08:36 | 0:08:38 | |
-I'll find one for you. -You've been a brilliant girl. | 0:08:39 | 0:08:43 | |
-Well done. I'll get a sticker. | 0:08:44 | 0:08:48 | |
-OK? Love her! | 0:08:49 | 0:08:51 | |
-The doctors have assessed Erin. | 0:08:59 | 0:09:02 | |
-Hold it. | 0:09:05 | 0:09:08 | |
-The doctors think she's well enough -to go on Optiflow. | 0:09:10 | 0:09:14 | |
-CPAP supplies air pressure. | 0:09:15 | 0:09:17 | |
-She doesn't need the pressure now, -only humidified oxygen. | 0:09:17 | 0:09:22 | |
-The machine gives her -the humidified oxygen. | 0:09:23 | 0:09:26 | |
-We'll put this on her now. | 0:09:27 | 0:09:29 | |
-She won't like this. -She's settled down a bit. | 0:09:30 | 0:09:33 | |
-We're adjusting her so -Mam and Dad can see her pretty face. | 0:09:33 | 0:09:37 | |
-She's headed towards -the right direction. | 0:09:37 | 0:09:40 | |
-Mam and Dad popped out. -It isn't nice for them to see this. | 0:09:41 | 0:09:46 | |
-The doctors are happy. We've stopped -the fluids and giving her more feed. | 0:09:48 | 0:09:53 | |
-That's a really good sign. | 0:09:54 | 0:09:55 | |
-I'll move it to the side -just so you can get to her. | 0:09:56 | 0:10:00 | |
-No allergies? | 0:10:08 | 0:10:12 | |
-No. | 0:10:12 | 0:10:13 | |
-No. - -Lovely. | 0:10:13 | 0:10:14 | |
-She's sleeping. | 0:10:16 | 0:10:17 | |
-I'll just lift you a little. | 0:10:19 | 0:10:21 | |
-Alright, babes? | 0:10:26 | 0:10:27 | |
-I know. | 0:10:27 | 0:10:29 | |
-We'll give you the steamy one again. | 0:10:32 | 0:10:35 | |
-There you are. | 0:10:35 | 0:10:37 | |
-You can have the steamy one again. | 0:10:41 | 0:10:44 | |
-MACHINE BLEEPS | 0:10:44 | 0:10:46 | |
-I'll put this on. -There you are, love. | 0:11:00 | 0:11:04 | |
-Keep that there for a while. | 0:11:05 | 0:11:09 | |
-Sara has been here since last night -with difficulty breathing. | 0:11:12 | 0:11:18 | |
-She has any temperature? | 0:11:18 | 0:11:20 | |
-She's had a temperature. | 0:11:20 | 0:11:22 | |
-We'll look at the numbers. | 0:11:22 | 0:11:24 | |
-She had a 30.9? | 0:11:25 | 0:11:26 | |
-She had a 30.9? - -37.9, yes. | 0:11:26 | 0:11:28 | |
-Her numbers are looking -as if she's got fast breathing. | 0:11:30 | 0:11:34 | |
-Her heart rate is a bit fast. | 0:11:34 | 0:11:36 | |
-We had a look at her X-ray -and it looks fine. | 0:11:38 | 0:11:41 | |
-There's no evidence -of any infection. | 0:11:41 | 0:11:44 | |
-It's probably a viral illness, -that's why she has a temperature. | 0:11:44 | 0:11:49 | |
-That's triggered her asthma. | 0:11:49 | 0:11:51 | |
-We need to keep on top -of the nebulizer medications. | 0:11:51 | 0:11:55 | |
-She will probably require it -more often in the next few hours. | 0:11:55 | 0:11:59 | |
-We might have to give -another injection... | 0:12:00 | 0:12:03 | |
-..before the magnesium sulphate -through the drip... | 0:12:04 | 0:12:08 | |
-..if she doesn't improve -with these medications. | 0:12:08 | 0:12:12 | |
-We'll come back and listen -to her chest and make a plan... | 0:12:12 | 0:12:16 | |
-..to see where we are going. | 0:12:17 | 0:12:19 | |
-Any questions? | 0:12:20 | 0:12:21 | |
-Any questions? - -No. You've answered most of them. | 0:12:21 | 0:12:24 | |
-Thank you. | 0:12:24 | 0:12:26 | |
-What do you think about that? | 0:12:27 | 0:12:29 | |
-What do you think about that? - -The usual story. | 0:12:29 | 0:12:31 | |
-It depends on the outcome -of changing the medication. | 0:12:32 | 0:12:37 | |
-Most of the time, -it doesn't make much difference. | 0:12:37 | 0:12:41 | |
-Some of the things they try -make a big difference. | 0:12:41 | 0:12:46 | |
-They sent her home with Montelukast -last time. | 0:12:47 | 0:12:52 | |
-They do improve things... | 0:12:53 | 0:12:57 | |
-..but not that much. | 0:12:58 | 0:13:01 | |
-The cold causes the asthma attacks. | 0:13:01 | 0:13:07 | |
-We'll see if she can get over it. | 0:13:10 | 0:13:12 | |
-Has she been this poorly before? | 0:13:12 | 0:13:15 | |
-Yes, much worse than this. | 0:13:15 | 0:13:18 | |
-When she was three... | 0:13:19 | 0:13:23 | |
-..she had a really bad asthma -attack. | 0:13:23 | 0:13:27 | |
-It turned into pneumonia. | 0:13:27 | 0:13:29 | |
-We were here for a fortnight... | 0:13:30 | 0:13:34 | |
-..trying to make her better. | 0:13:35 | 0:13:38 | |
-This attack isn't the worst by far. | 0:13:39 | 0:13:43 | |
-. | 0:13:44 | 0:13:44 | |
-Subtitles | 0:13:59 | 0:13:59 | |
-Subtitles - -Subtitles | 0:13:59 | 0:14:01 | |
-Sara's condition has worsened -since arriving last night. | 0:14:08 | 0:14:13 | |
-Her temperature has risen -and she has breathing difficulties. | 0:14:13 | 0:14:17 | |
-How much is she having? 40? Oh yes. | 0:14:18 | 0:14:22 | |
-If I give her her Neb first -and a paracetamol... | 0:14:22 | 0:14:26 | |
-..and then her Pred -when she feels a bit better. | 0:14:26 | 0:14:30 | |
-Sara is having her third nebulizer. | 0:14:32 | 0:14:35 | |
-Then the doctors will review her. | 0:14:36 | 0:14:39 | |
-She feels a bit rubbish. | 0:14:40 | 0:14:43 | |
-She has a temperature, too. -We'll give her some paracetamol. | 0:14:43 | 0:14:48 | |
-That should make her feel better. | 0:14:48 | 0:14:51 | |
-Paracetamol. | 0:15:01 | 0:15:02 | |
-Sara. | 0:15:07 | 0:15:09 | |
-Sara, love. -Here's some paracetamol and Calpol. | 0:15:09 | 0:15:14 | |
-Will you take it for me -to make you better? | 0:15:14 | 0:15:17 | |
-Just a little, OK? -Then you can go back to sleep. | 0:15:17 | 0:15:21 | |
-We don't need this for a minute. | 0:15:21 | 0:15:24 | |
-There you are. | 0:15:25 | 0:15:27 | |
-Do you want to do it, or shall I? | 0:15:27 | 0:15:30 | |
-Can I have a spoon? | 0:15:31 | 0:15:34 | |
-I'll get a spoon. | 0:15:34 | 0:15:37 | |
-Drink first? | 0:15:39 | 0:15:41 | |
-More? | 0:15:42 | 0:15:44 | |
-I only want ice-cream. | 0:15:52 | 0:15:56 | |
-There you are. Drink it all quickly. -Open wide. | 0:15:56 | 0:15:59 | |
-I'll get you a drink. | 0:16:02 | 0:16:05 | |
-This will make you feel better. | 0:16:05 | 0:16:07 | |
-Take the medication now. | 0:16:08 | 0:16:11 | |
-Open wide. | 0:16:11 | 0:16:13 | |
-It'll make you feel much better -then you can have your ice-cream. | 0:16:14 | 0:16:18 | |
-Sara is very independent! | 0:16:20 | 0:16:23 | |
-She knows exactly what she wants. -It's hard to get round her. | 0:16:23 | 0:16:27 | |
-She'll take it when -she's ready and really needs it. | 0:16:27 | 0:16:31 | |
-Erin is a big girl. | 0:16:34 | 0:16:36 | |
-She stayed in hospital on her own. | 0:16:37 | 0:16:40 | |
-Mam and Dad went home for a break. | 0:16:41 | 0:16:44 | |
-They need to chill. -They've been here for days. | 0:16:44 | 0:16:49 | |
-They need to sleep and relax. | 0:16:49 | 0:16:52 | |
-They didn't like the idea -of leaving her... | 0:16:53 | 0:16:56 | |
-..but it's important they -have the energy to be here for her. | 0:16:57 | 0:17:02 | |
-She's much better, so they were -happy to leave her for a little bit. | 0:17:03 | 0:17:07 | |
-But they miss you a lot. | 0:17:08 | 0:17:11 | |
-It's nice when they get better. | 0:17:13 | 0:17:15 | |
-She's not quite there yet, -but she's much better. | 0:17:16 | 0:17:20 | |
-We feed her through the NG tube... | 0:17:22 | 0:17:25 | |
-..while she doesn't have the energy -to feed herself. | 0:17:26 | 0:17:30 | |
-She'll take food orally soon, -because she's much better. | 0:17:30 | 0:17:35 | |
-You'll have food -in quarter of an hour. | 0:17:38 | 0:17:41 | |
-The doctors are worried about Sara. | 0:17:47 | 0:17:50 | |
-They've moved her to a room -that's closer to the nurses. | 0:17:51 | 0:17:56 | |
-There you are. | 0:17:56 | 0:17:58 | |
-We've moved off the ward -to this cubicle. | 0:18:00 | 0:18:03 | |
-Her asthma isn't responding -to the medicine. | 0:18:04 | 0:18:10 | |
-They're going -to try IV medication... | 0:18:10 | 0:18:15 | |
-..to see if that will -speed up her recovery. | 0:18:16 | 0:18:21 | |
-There you are. | 0:18:22 | 0:18:24 | |
-We're tangled! | 0:18:25 | 0:18:27 | |
-Have you got wipes? | 0:18:29 | 0:18:31 | |
-I'll get you one. | 0:18:31 | 0:18:33 | |
-I'll get you one. - -Dad has some. | 0:18:33 | 0:18:35 | |
-Do you want to move to the middle? | 0:18:36 | 0:18:39 | |
-Do you want a blanket? | 0:18:43 | 0:18:45 | |
-That's every hour. We'll review her -after the blood results come back. | 0:18:45 | 0:18:51 | |
-OK, Sara? | 0:18:51 | 0:18:54 | |
-Erin's parents are back, -ready for the nightshift. | 0:19:02 | 0:19:06 | |
-I have to test the tube first... | 0:19:08 | 0:19:11 | |
-..to check it's in her nose -and still at 24cms. | 0:19:11 | 0:19:16 | |
-I test it by aspirating -the stomach contents. | 0:19:17 | 0:19:22 | |
-I'm checking it's still -in her stomach and hasn't moved. | 0:19:23 | 0:19:27 | |
-She's sleeping soundly. -It's a shame to disturb her. | 0:19:30 | 0:19:34 | |
-We use pH sticks -and measure them against these. | 0:19:37 | 0:19:41 | |
-I'll show you now. | 0:19:42 | 0:19:44 | |
-It needs to be five or less. | 0:19:47 | 0:19:49 | |
-It's now 5.5 -so I need more aspirate. | 0:19:50 | 0:19:54 | |
-She gets this feed -every hour through her nose. | 0:19:55 | 0:19:58 | |
-We test it every time we do it. | 0:19:59 | 0:20:01 | |
-That's better. | 0:20:06 | 0:20:08 | |
-That's a better stomach sample. | 0:20:09 | 0:20:12 | |
-That's 4.5. | 0:20:13 | 0:20:16 | |
-I'm happy to carry on with the feed. | 0:20:16 | 0:20:19 | |
-Right, then. | 0:20:21 | 0:20:23 | |
-That's it. | 0:20:29 | 0:20:30 | |
-We let gravity do the work. | 0:20:32 | 0:20:34 | |
-It's really slow. | 0:20:36 | 0:20:38 | |
-We don't push it, we start it off. | 0:20:38 | 0:20:42 | |
-It goes down quite quickly. | 0:20:43 | 0:20:45 | |
-She has so little volume -there's no need for Gaviscon. | 0:20:45 | 0:20:49 | |
-It goes quite fast. -It's only a small amount of volume. | 0:20:50 | 0:20:54 | |
-She isn't on a full feed. -It gives her the break she needs. | 0:20:54 | 0:20:58 | |
-We'll increase the volume gradually, -then she can have a bottle. | 0:20:59 | 0:21:05 | |
-That's good. -By tomorrow, cross fingers. | 0:21:05 | 0:21:09 | |
-Erin's parents will stay -another night in hospital. | 0:21:13 | 0:21:16 | |
-Because only one parent -can sleep at the bedside... | 0:21:18 | 0:21:21 | |
-..Dad goes to Ty Enfys, -round the corner in Dewi Ward. | 0:21:22 | 0:21:26 | |
-There are bedrooms here... | 0:21:32 | 0:21:34 | |
-..that are free to parents -who live too far to go home... | 0:21:34 | 0:21:38 | |
-..or who need to be in hospital -for long stretches. | 0:21:39 | 0:21:43 | |
-This is Aaron's fifth night -in Ysbyty Gwynedd. | 0:21:43 | 0:21:48 | |
-I'm in room 5. | 0:21:49 | 0:21:52 | |
-It's quite nice here, actually. | 0:21:53 | 0:21:56 | |
-There are two single beds -and a telly with Freeview. | 0:21:57 | 0:22:01 | |
-There's a shower through there, -which is handy... | 0:22:02 | 0:22:05 | |
-..to save me having to go home. | 0:22:06 | 0:22:08 | |
-It's quite nice here. | 0:22:09 | 0:22:12 | |
-Everything is new. | 0:22:13 | 0:22:17 | |
-Only one adult can stay in the ward. | 0:22:20 | 0:22:22 | |
-My partner doesn't drive. | 0:22:23 | 0:22:25 | |
-She can't pop out. | 0:22:25 | 0:22:27 | |
-It's handy for us both to be here -to support each other. | 0:22:28 | 0:22:32 | |
-I can pop out -to get anything she needs. | 0:22:33 | 0:22:36 | |
-Because we're both here... | 0:22:36 | 0:22:39 | |
-..it saves us having to take shifts. | 0:22:39 | 0:22:43 | |
-Sara is still going -back and forth to hospital... | 0:23:11 | 0:23:15 | |
-..but is looking forward to summer. | 0:23:15 | 0:23:17 | |
-Erin returned once to hospital... | 0:23:18 | 0:23:21 | |
-..but she's much better now. | 0:23:21 | 0:23:24 | |
-S4C Subtitles by Gwead | 0:23:41 | 0:23:43 | |
-. | 0:23:43 | 0:23:43 |