Pennod 4 Ward Plant

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-Ysbyty Gwynedd

-serves the largest area in Wales.

-Some children have to travel

-over two hours to get here.

-It was the worst thing I've seen. I

-panicked. I didn't know what to do.

-You never know

-who will come through the door.

-Some come to have a tooth taken out.

-I have to have seven teeth out.

-Seven? Are you sure?

-Do you have seven?

-Someone has a broken leg.

-She fell over

-and her friend fell on top of her.

-I just want to be knocked out.

-Some are used to coming here.

-I've had so many,

-operations don't worry me any more.

-Some weren't expecting to be here

-at all.

-She was in school and had something

-that sounds like an absence.

-She was unresponsive

-and fell to the floor.

-But everyone hopes to get better

-and go home.

-Monday is always a busy day

-on the children's ward.

-This is Owen, SHO paeds.

-Hiya, are you OK?

-You're the third one this morning

-but it doesn't matter.

-Dewi Ward, staff nurse speaking.

-Did you bleep me?

-We often find that Monday afternoons

-are a busy time.

-Children have been ill

-over the weekend.

-People are put off the idea

-of going to the out of hours GP...

-..and wait to see their own GP.

-While Dewi Ward waits for children

-referred to them from GPs...

-..children arrive on Minffordd Ward

-across the corridor for operations.

-This is Akira.

-She has a mouth

-full of rotten teeth.

-Akira refused to brush her teeth.

-We went to see the dentist...

-..and the dentist said

-she had to have some teeth out.

-We weren't sure how many

-so I asked the dentist.

-He said it was quite a few.

-He wanted to wait for the hospital

-to have a look...

-..but he thought

-at least five or six.

-In the end, she had seven teeth out

-when we went to the hospital.

-I'm Owen,

-one of the children's doctors.

-I just want to go through

-a couple of questions.

-I'll examine you quickly and listen

-to your chest and heart. Is that OK?

-Why are you here today?

-Why are you here today?

-

-I have to have seven teeth out.

-Seven? Are you sure?

-Do you have seven?

-As a mother,

-I was angry with myself...

-..because Akira had let her teeth

-get so bad.

-I should have pushed her more.

-But Akira is such a stubborn

-little girl...

-..if she doesn't want

-to do something, she won't.

-We had such trouble

-getting her to clean her teeth.

-Do you know which seven

-are coming out?

-Here, here, here,

-here, here, here and here.

-So the front two

-will still be there.

-So you'll still be able to eat.

-So you'll still be able to eat.

-

-Yes.

-These ones have come out before.

-I've had the new ones.

-They look nice.

-So you're going down to theatre.

-I'm sure Mam will come with you.

-You'll go to sleep

-and once you wake up...

-I'll have a mask.

-I'll have a mask.

-

-Yes. That's right.

-Antiseptic or something.

-Anaesthetic.

-Anaesthetic.

-

-Anaeseptic.

-Anaesthetic.

-When you come back here,

-you'll be a bit sleepy.

-We'll look after you

-for about two hours.

-Once you can eat, drink, walk

-around, talk and go to the toilet...

-..you can go home this afternoon.

-Does that sound OK?

-Does that sound OK?

-

-Yes.

-But the first to have "antiseptic"

-today is Ethan from Caernarfon.

-He's used to it.

-It doesn't worry me.

-I've had so many, operations

-don't worry me any more.

-I've got a problem with my ears.

-The doctor told me

-that it might be my nose...

-..causing a problem in my ears.

-That's what he said.

-As well as taking out his adenoids,

-the team is going to clean his ears.

-Before you go to the operation...

-..I think I'm going to

-call up the audio team.

-I want to have a hearing test done.

-I want to have a hearing test done.

-

-OK.

-You've suffered

-from recurrent infections...

-..and you can see that

-in both your ears.

-But there are certain pieces

-of that ear that can be removed...

-..so that the eardrum

-is more flimsy...

-..and allows you to hear better.

-So the idea is,

-what's done is done now.

-Why don't we prevent what's

-going to happen in the future.

-You're talking and you can hear me

-right now as best as you can.

-I think the best idea

-is to keep it that way.

-We'll try to do that for you.

-By keeping his ears clean,

-they're hoping to save his hearing.

-I had a hole in my eardrum.

-Then I've had some smelly stuff

-running out of my ears.

-I've been to the doctor.

-I've had antibiotics.

-I've also been to the hospital

-to see ENT.

-They've referred me to someone else.

-I've had a few operations

-on my ears.

-I'll come back to you

-if anything else changes.

-Thank you very much.

-Thank you very much.

-

-Thanks, guys.

-A little baby is next

-on Dr Owen's list.

-Dewi Ward's youngest patient today.

-Hugo is six days old.

-He's jaundiced. That means his skin

-is a yellowy colour.

-Jaundice is caused by too much

-bilirubin in the blood.

-Bilirubin is a yellow chemical

-which we all produce naturally.

-Red blood cells break it down.

-Hugo's liver is not

-getting rid of it as it should.

-He needs some help to do that.

-The treatment for children like this

-is phototherapy.

-He's on double phototherapy because

-the bilirubin level is so high.

-It breaks down the chemical

-in the blood.

-The chemical can cause damage.

-That's what we're concerned about.

-Once the level comes down,

-we're happy.

-After a short time under the lamp,

-most babies can go home.

-OK? Thank you.

-Ethan is on his way

-to his hearing test.

-They want to see how much damage

-has already been done to his ears.

-Have you had a hearing test before?

-Have you had a hearing test before?

-

-Yes.

-So you know a little bit

-of what that's all about then.

-I'll pop a little tip in your ear,

-blow a bit of wind in...

-..and we'll see

-how well the eardrum's moving.

-This test is called tympanometry.

-It's used to examine the middle ear.

-That is, the drum,

-and the little bones behind it.

-If Ethan's eardrum

-doesn't move as it should...

-..the little bones behind

-won't move either.

-Akira is about to say goodbye

-to seven of her teeth.

-A lesson for any children watching.

-You must brush your teeth

-or this is what will happen to you.

-Seven teeth

-that took ten years to grow.

-They're pulled out

-in less than half an hour.

-The next person in is Ethan. He

-seems to be looking forward to it.

-Well, he's used to it!

-I think it's quite funny really.

-You get knocked out.

-The doctors think you're funny.

-They laugh. You wake up.

-They still think you're funny

-after gas and air.

-You get the giggles when people

-on the ward are trying to sleep.

-People get annoyed.

-I don't worry about it.

-An operation is an operation.

-I'll give your arm a squeeze.

-I'll give your arm a squeeze.

-

-Ah, it's alright.

-Open and close your hand.

-Are you ready?

-Are you ready?

-

-I'm ready for everything.

-I'm going to lie you a bit flatter.

-Can you wriggle up towards me

-a tiny bit?

-Keep going.

-What's that?

-What's that?

-

-Just oxygen. For your lungs.

-We'll get you off to sleep.

-You're going to fall asleep now.

-Sweet dreams.

-Count to ten.

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-As the day goes on, children arrive

-on Dewi Ward from all directions.

-This is Lauren. An hour ago, she was

-sitting at her desk in school.

-We'll put her on this bed.

-That one? OK.

-Hiya, Lauren. Are you OK?

-I'm Tomos,

-one of the paediatric doctors.

-Are you OK?

-Can you say hiya, Lauren?

-Can you say hiya, Lauren?

-

-Hiya.

-When Lauren was nine months old,

-she didn't look at anyone...

-..she couldn't sit up and couldn't

-put any weigh on her legs.

-She saw a physiotherapist initially.

-She then saw a paediatrician

-in Bangor.

-He diagnosed gross motor dyspraxia

-when she was about one.

-Then when she was nearly four, she

-was diagnosed with atypical autism.

-She was in school and had something

-that sounded like an absence.

-She became unresponsive

-and collapsed.

-Yes. I haven't seen her have

-something like that before.

-So she has seizures.

-I understand she has epilepsy?

-And she's under one of the

-consultants for her epilepsy.

-She had her first fit in September

-about four years ago.

-It was horrible.

-It was the worst thing

-I'd seen in my life.

-I panicked.

-I had no idea what to do.

-Luckily, I wasn't on my own.

-I just phoned for an ambulance.

-Then she had one a month later.

-She saw a doctor

-and started on medication.

-Lauren?

-Is it OK for me to listen

-to your heart and your lungs?

-Yes?

-You can carry on reading that

-if you like.

-Like many 12-year-old girls, Lauren

-has had a sudden growth spurt.

-Dr Tomos thinks she may need...

-..a stronger dose

-of epilepsy medication.

-I'm going to stop that now.

-Has she had any tummy aches

-or headaches?

-No? Nothing at all.

-No? Nothing at all.

-

-Headache? Yes, sorry, she has.

-Over the last three weeks.

-OK. But nothing today?

-OK. But nothing today?

-

-No.

-Usually, she's really happy

-in school.

-They've been saying

-she's been moody.

-OK.

-I just want to shine a light

-on her eyes.

-It might be tricky

-to see her tonsils and ears.

-Is she normally OK?

-OK. I'll fetch the equipment.

-I'll be back now. Two seconds.

-Akira is back

-after having her teeth taken out.

-Mam is waiting for her to wake up

-after the anaesthetic.

-Akira gets a gift in a small packet.

-Seven teeth

-ready for the tooth fairies.

-You're drinking. I understand

-you've had a ham sandwich.

-How does your mouth feel?

-It hurts.

-Does it? You've lost seven teeth.

-You've still got a couple left.

-Have you been to the toilet at all?

-No, I haven't been to the toilet.

-Once you've done a wee

-on the toilet, you can go home.

-If you feel happy to go?

-No need to stay here, is there?

-Thank you.

-I'm going to look in your ears.

-I'll look in this ear.

-Are you ready? Can you stay still?

-Well done. I'll come round

-to look the other side.

-Can you open your mouth for me?

-Open your mouth wide. Say Ah.

-She had a seizure five weeks ago for

-the first time in about three years.

-She's still having episodes

-at night...

-..which sound like seizures

-or night tremors.

-Ice lolly, OK?

-Ice lolly, OK?

-

-Ice lolly! Is it an ice lolly?

-Sometimes we ask parents to record

-when children have something...

-..that sounds like a seizure.

-It's so easy these days -

-they just take out their phone.

-But sometimes they're so short,

-they don't manage to capture them.

-Look. Open your mouth wide.

-Sorry, Lauren. Not interested.

-I'm not going to do anything drastic

-this very minute.

-We'll keep an eye on her.

-I might ask Eleri, one of our

-seniors, to have a look at her.

-It's difficult to know why.

-Maybe the dose isn't correct.

-Maybe she's grown

-and the dose is no longer enough.

-She has grown.

-Last time we saw the doctor,

-she'd put on weight and she'd grown.

-Maybe we need to tweak the dose

-again.

-Any questions, just grab me. I'll be

-around here. I'll take these.

-Bye bye, love.

-Bye bye, love.

-

-Ta-ra, Lauren. I'll see you later.

-Thanks for behaving so well.

-Thanks for behaving so well.

-

-Say goodbye.

-Thank you.

-Thank you.

-

-Thank you.

-I'll see you later.

-Good girl.

-Thank you.

-Well done, Lauren.

-You were a good girl.

-It can be a worrying time

-on the way to theatre.

-But Hermione is smiling

-like a Cheshire cat.

-Why is that?

-Dad can tell us.

-She was walking home from school

-and she fell over.

-Her friend then fell on top of her.

-That's how she broke her leg.

-I think that was

-about 15 months ago.

-Hermione has been in a lot of pain.

-Things haven't been going well.

-She had physio and came on quite

-well in the first six months.

-But things haven't gone

-quite as well since then.

-She's in a lot of pain

-and she's back on crutches.

-She struggles to just go to school.

-So she'll be glad to have

-the plates taken out.

-Hermione has broken her shin bone.

-It's one of the two bones

-between the knee and the ankle.

-The surgeon has fixed it

-with a metal plate and screws.

-It's time to take them out today

-because the bone has fused.

-The task now is to take it out

-without causing further problems.

-We're OK, thank you.

-The bone has grown over the plate.

-So we need to take a piece of bone

-to lift the plate.

-Two holes, eight screws

-and one plate later...

-..Hermione is ready

-to relaunch her sporting career.

-After only a few weeks.

-Huw also enjoys sport.

-Three months ago, he had

-an operation on his knee.

-I was taking part

-in the school sports day.

-I was doing the high jump.

-As I was running,

-I lifted my right leg...

-..and my left knee twisted.

-The knee cap moved up.

-Here he is, on his feet today.

-He needs to strengthen his knee.

-He's still under orthopaedics.

-They want to start physio

-for a few weeks...

-..before he can go back

-to play rugby!

-Let your bottom drop a little bit.

-Then just go down.

-Squeeze the tummy.

-Do a little press-up for me.

-I attend physio

-to strengthen my leg.

-I have to do squats.

-I have to lift my leg up straight.

-I have to tense it then raise it.

-I have to do

-a little bit of jumping.

-I'm just strengthening

-around the muscles...

-..to get it back

-to how it was before.

-Just be careful with it, OK?

-If it feels like it's struggling,

-come back down.

-Ooh, better. And then down again.

-Huw plays rugby for Bethesda RFC.

-He also plays for Sale Sharks

-in Manchester.

-It's important that he gets stronger

-quite quickly.

-That was really good. Can you

-pop back in in a couple of weeks?

-We'll see how you're doing.

-I hope to be back playing

-by about February.

-Dr Chaudhary has arrived

-to take a look at Lauren.

-No-one knows what happened.

-No-one's really sure what happened.

-It was more

-of an unresponsive episode.

-He agrees with Dr Tomos...

-..that Lauren needs a stronger dose

-of the epilepsy medicine.

-She has had an unresponsive response

-and more seizures recently...

-..so we'll increase the dose

-of Epilim.

-That's the anti-epileptic

-medication.

-Second thing, an EEG.

-He's going to send Lauren for an

-electronic examination of the head.

-Just to make sure

-that everything is OK.

-Two people have been on the

-children's ward since this morning.

-Ethan, who's an old hand at this.

-And Akira, minus seven of her teeth.

-Have you had a drink?

-Have you been to the toilet?

-Yes.

-Before going home,

-there are things to be said.

-We usually advise two weeks

-off school.

-But it's holiday time anyway nearly.

-You break up on Friday.

-Oh, you're nice!

-So you timed it wrong.

-You timed it wrong.

-I had a date last week.

-We did have a date two weeks ago.

-But you're still missing this week,

-aren't you?

-The reason why we usually say

-two weeks off school...

-..is so he isn't around people

-with infection.

-Basically we don't want him

-in crowded places.

-Ideally.

-Because if he picks up infection,

-it increases the risk of a bleed.

-They need to tell Akira how to eat

-without seven of her teeth.

-Just soft foods.

-For the next two days.

-You've got mashed potato

-to have at home.

-Don't you like that?

-The one Alan makes - you have to...

-Watch what you're saying!

-Uncle Alan might be watching.

-It's erm... nice.

-Horrible.

-There we are.

-I'm so happy to go home to bed!

-I haven't slept.

-I just want to go home.

-Chill out.

-I've been awake since 7.30am.

-Normally I wake up at 8.45am

-to go to school.

-Ethan's ears have dried out

-and they're keeping an eye on him.

-Lauren is on new medication and

-hasn't had a fit since Christmas.

-Hermione's leg is getting stronger

-with physiotherapy.

-Huw is about to start

-playing rugby again.

-Akira has new teeth. This time,

-she's looking after them.

-S4C Subtitles by Testun Cyf.

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