Pennod 7 Ward Plant


Pennod 7

Diabetes, torri coesau a chorwynt Ophelia! Does 'na'r un diwrnod 'ru'n fath ar Ward Plant, Ysbyty Gwynedd, Bangor. Diabetes, broken legs and hurricane Ophelia! It's all go on t...


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-Ysbyty Gwynedd has been caught up

-in Hurricane Ophelia's high winds.

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-But even in the roughest weather...

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-It's windy!

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-..the nurses cope.

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-Many have had to go home

-because of the wind...

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-..and the bridge is closed.

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-We shared a car, didn't we?

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-We shared a car, didn't we?

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-Yes.

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-I was traumatised after sitting

-in your passenger seat!

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-Despite everything, the patients

-continue to arrive on Dewi Ward.

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-A three-month-old boy with breathing

-problems is coming straight here.

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-These tonsils are massive.

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-I felt it straight away

-and heard it break as well.

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-Every morning on Dewi Ward

-tends to be the same.

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-The night shift comes to an end.

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-See you later. Ta-ta.

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-The day shift takes over

-and the work starts again.

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-We've been quite busy overnight.

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-We've had a lot of admissions

-but most have gone home...

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-..after seeing the doctor.

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-I think we only have about

-two new patients this morning.

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-So it's not too bad

-for the day staff.

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-And I'm looking forward

-to seeing my bed!

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-It's nine in the morning.

-This is the assessment unit.

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-Every child that is referred to us

-from their GP or from A&E...

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-..comes in here first

-to be seen by a doctor.

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-This unit's been here

-for about a year.

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-It's been a great help for the ward.

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-It stops the ward

-from getting full of children...

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-..who don't need admission

-but need time to get better...

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-..or time to decide whether

-they're well enough to go home...

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-..or if they need more treatment.

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-But with Hurricane Ophelia...

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-..and the highest winds

-in a century on the way...

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-..this is not a normal day

-for Ysbyty Gwynedd.

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-We might have fewer children

-coming in...

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-..because they may not go

-to the surgery.

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-The biggest challenge for us

-will be staff needing to go home.

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-But one little boy has managed

-to arrive before the storm.

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-Ophelia can't come between

-Calum and his tonsils.

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-He's been in and out to see

-the doctor for about five years.

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-His tonsils touch each other.

-He always has a secondary infection.

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-The first time, it was in the knee.

-The second time, the hip.

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-Last week, he had a secondary

-infection on the bowel.

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-That created some problems for him.

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-So we're happy

-that he's having them taken out.

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-My tonsils are massive.

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-But the storm is even bigger.

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-She has her eye on the toys

-in the Dewi Ward play area.

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-We'll put all the toys in the corner

-before they go out of the gate.

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-It's windy!

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-But Ophelia

-is only just getting started.

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-I've had a text message

-from the school...

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-..to say

-they're closing at one o'clock.

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-Unfortunately, I can't hold

-of their dad or their gran...

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-..so I'll have to pick up the girls,

-drop them off at their gran's...

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-..and then come back to work.

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-Other members of staff

-can't come in...

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-..because they haven't got anyone

-to look after their children.

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-So we're quite short-staffed.

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-This nurse has just enough time

-to take Calum to theatre...

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-..before having to pick up

-her own child from school.

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-But on a day like today,

-everyone understands.

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-The staff have been really good.

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-They've had problems

-with the weather.

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-Many have had to go home

-because of the wind...

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-..and the bridge is closed.

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-But everyone who's here

-has been fantastic.

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-The GP has sent Andrew in because

-he suspects he has appendicitis.

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-The poor lad brings a bucket with

-him because he can't stop vomiting.

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-Claire brings Andrew to a bed.

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-She doesn't want an old paint bucket

-on her ward.

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-Which nurse would?!

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-But she can't get rid of it

-because Andrew's dad...

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-..says the bucket

-is a family heirloom.

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-Hmm!

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-There you go. OK?

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-Shall I grab that for you?

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-They've used it all their lives

-as a vomit bowl...

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-..but you could get rid

-of the contents for us.

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-Be careful with that bucket, Claire.

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-I thought I just had a bug.

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-I have a little bit of pain

-and I feel a bit sick as well.

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-There we are.

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-Calum is feeling a bit light-headed

-after having his tonsils out.

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-But moving beds

-can make the world spin.

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-Aah!

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-Aah!

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-My lips are so dry.

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-My lips are so dry.

-

-Are you OK to come across here?

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-I think so. Waa!

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-Whoa.

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-Nice and careful there.

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-Dizzy?!

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-Well done.

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-You have a lie-down now.

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-All the best now.

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-Thank you.

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-I don't want to...

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-Try and go back to sleep.

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-I want to stay with you.

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-I want to stay with you.

-

-I'm staying here. I'm staying here.

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-The night shift's

-come in early to help...

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-..because so many nurses

-had to go home.

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-Everyone has their story.

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-A Tesco Bag for Life

-hit my windscreen.

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-That's it really.

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-That's the only traumatic thing

-that happened.

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-The electricity in the house went

-off about an hour before I came in.

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-My dinner was in the oven and I

-wanted a shower before coming in.

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-So I was a bit behind

-and it was a bit of a rush.

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-Then it was windy as well.

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-I haven't been driving for long

-so I was a bit nervous driving in.

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-What did you have to eat?

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-I had salmon in the oven.

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-And the new potatoes

-were a little bit on the raw side.

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-So it was a bit of a rush

-to come in.

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-We shared a car, didn't we?

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-We shared a car, didn't we?

-

-Yes.

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-I was traumatised after sitting

-in your passenger seat.

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-No!

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-The wind has stopped people from

-travelling and seeing their GP...

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-..so it's quiet on Dewi Ward.

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-But Andrew is still here.

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-The surgeons have seen him and they

-agree he must have his appendix out.

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-There's a toilet here.

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-He came in

-about three o'clock this afternoon.

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-He's had blood taken

-and he's been nil by mouth.

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-They've given him IV antibiotics

-already.

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-He's been in a bit of pain.

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-So he's had some painkillers.

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-He's also been having IV fluids.

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-I think they'd planned to take him

-to theatre this afternoon.

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-But it was about ten o'clock tonight

-when the doctor came to see him.

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-They're hoping to take him

-to theatre tonight.

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-For those children in real need...

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-..there's always a way

-of getting to Dewi Ward.

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-It's 10.55pm.

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-We've just had a phone call

-about a three-month-old baby...

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-..with breathing difficulties.

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-They're coming straight to the ward

-in the ambulance.

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-That's all we know at the moment

-so we'll see.

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-This little man is Logan.

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-He's given his mother a fright

-and he's only 12 weeks old.

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-And he didn't improve at all?

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-No. He's been the same all day.

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-He started to get ill last night.

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-I waited until this morning and then

-I took him in. He had a high temp.

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-He was crying in pain.

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-I had a lift up this morning.

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-I was home until about 4.30pm.

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-Then he started getting worse.

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-I've assessed him. He looks OK.

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-Mam was a bit worried

-because he wasn't drinking much...

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-..was a bit snuffly and had a cough.

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-He's got progressively worse

-all day.

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-So we're just waiting now

-for the doctor to assess him...

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-..and we'll see then

-what the next step will be.

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-While Logan waits to see the doctor,

-and as the clock passes midnight...

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-..Andrew is on his way to theatre

-to have his appendix out.

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-They need to wrap up warm

-to protect from Ophelia.

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-Two days after Hurricane Ophelia

-and Andrew is still in hospital.

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-They found that the end

-of the appendix was gangrenous.

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-He was there for about two hours

-in total.

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-He came back and now he has to be

-on antibiotics for 48 hours...

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-..to make sure

-he doesn't have an infection.

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-He's finding it difficult

-to eat at the moment.

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-During the treatment,

-they handled his bowels...

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-..so it takes a while for everything

-to get back to normal.

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-There we go.

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-Someone else who's been having

-trouble eating is Seren.

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-But for completely

-different reasons.

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-She's been feeling light-headed

-and vomiting since first thing.

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-It's because her diabetes

-is out of control.

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-Her blood sugar levels are too high.

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-Her pancreas

-doesn't produce insulin...

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-..so her body can't use the sugar

-to produce energy.

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-Instead, the cells use fat...

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-..and that creates ketones

-which poison her body.

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-One of the first tests we do

-is what we call blood gas.

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-We can then see how acidotic

-or alkalotic the blood is.

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-Seren's blood had started to

-creep up to be more acidotic.

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-It's normally neutral.

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-She was breathing a bit differently.

-She was sort of panting.

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-That means that the level of C02

-in her blood is raised.

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-Her body's way of trying to

-get rid of the C02...

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-..is to make her breathe like that.

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-The ketones

-that make the blood acidotic...

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-..affect many organs

-and systems in the body.

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-Seren has diabetes type 1,

-an incurable genetic condition.

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-Her family use

-the latest technology...

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-..to keep it under control.

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-She has an insulin pump

-so instead of injections...

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-..she wears this pump which gives

-a constant infusion of insulin.

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-She has to manage it.

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-She also has another machine

-on her body...

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-..called continuous glucose monitor.

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-It's a sensor under the skin

-which measures the blood sugar.

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-The reading from that

-goes to her phone.

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-Seren is responsible for this -

-not me.

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-She has to work out all the time

-what she needs to do...

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-..and whether she needs more

-insulin, more sugar, less insulin.

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-She has to work out

-the carb content of her food.

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-As you can imagine...

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-..it's quite a big responsibility

-for a young woman.

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-But she does a fantastic job

-and we're very proud of her...

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-..for being so responsible.

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-It's supposed to be between 4 and 8.

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-So let's check Seren's phone.

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-As you can see, it's 18.7.

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-This can be read on any phone...

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-..so when my husband's

-working in Botswana...

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-..he can check Seren's

-blood sugar levels.

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-When you come home

-with a child who has diabetes...

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-..it's like coming home

-with a new baby.

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-Diabetes type 1 is completely

-different from type 2.

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-You can't cure type 1 diabetes,

-just manage it.

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-Peer support is so important.

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-We're part of a group for parents

-and carers in North Wales.

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-There are around 100 children

-under 18 who have diabetes type 1.

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-We meet up every month,

-we help each other.

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-I'm going on a girls' night out

-with about ten other mothers...

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-..this weekend -

-if Seren is well enough, of course!

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-It's an important part of our life.

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-Rugby is what's important

-to Gethin.

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-That's why he's here

-for the second time.

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-Last April, I broke my leg

-in a rugby match.

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-I've just gone back to playing rugby

-about two or three weeks ago.

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-I've just broken it again

-in training last night.

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-I felt it straight away

-and heard it break as well.

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-I've broken both bones now.

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-I knew straight away I'd broken it.

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-Seren's father also knows straight

-away if his daughter's in trouble.

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-Thanks to her mobile phone.

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-Once you go below the red line, 4,

-you go into hypoglycaemia.

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-You need to aim for it to be

-between the red line and number 10.

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-You don't want it to go much over 10

-in the long term.

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-People like us who don't

-have diabetes are around 7.

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-But for someone

-with type 1 diabetes...

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-..the blood can be

-all over the place.

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-It can be too low, hypoglycaemia,

-or too high, hyperglycaemia.

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-So now, you can see

-that her blood is at 13.

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-So if we input that information

-on the machine...

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-..it will work out

-whether she needs a correction dose.

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-Yes. It says 1.40 units.

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-Say yes, Seren.

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-Confirm.

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-So the machine now automatically

-tells the insulin pump...

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-..that she needs 1.40 units

-of insulin.

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-They explain that type 1 diabetes...

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-..is like walking along a tightrope

-with a blindfold...

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-..with a spoonful of sugar

-in front of you.

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-That's the balancing act required...

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-..to make sure your sugar levels

-don't go too high...

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-..and that they don't fall too much

-either.

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-You try to keep it constant.

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-We're still not sure why Seren's

-blood levels were so high.

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-We did exactly what we normally do.

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-It's important to remember

-that insulin is a hormone.

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-Other hormones can affect

-your blood sugar levels.

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-For example, if you're nervous,

-adrenaline can raise the levels.

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-It's just one of those things.

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-You can't really solve

-the mystery that is diabetes.

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-We know some things and there

-are other things we don't know.

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-In order to live a full life

-and keep healthy...

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-..you just have to keep checking

-all the time.

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-It might be an idea for Gethin

-to steer clear of the oval ball.

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-He's on his way to theatre

-to have his leg fixed - again.

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-The surgeons are still perplexed

-about Andrew's condition.

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-There is a problem to be solved.

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-The appendix has come out

-but the lad's no better.

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-He just doesn't feel too well.

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-He's been sick a few times...

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-..and this afternoon

-he had a lot of diarrhoea.

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-It is something that can happen

-after an appendix operation.

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-Especially if the appendix

-has gone bad...

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-..or if there's pus in the abdomen.

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-We've tried lots of things

-but he's not himself.

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-So we've phoned the surgeons and

-we're waiting for them to come down.

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-We'll see if they want to try

-something different.

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-But he's not feeling too great.

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-And he can't walk much either.

-He's in a lot of pain.

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-I've been throwing up.

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-And the colour?

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-And the colour?

-

-Orange and frothy.

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-Do you feel sick now?

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-You're still feeling sick.

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-First of all, I would ask you

-to stop eating or drinking.

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-We'll replace this with the fluids

-to replenish the fluids.

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-The surgeons

-have been to see Andrew.

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-They think he just had a good day

-yesterday immediately post-op...

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-..and that he's having

-a bad one today.

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-They think it's just

-part of what happens...

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-..and that he probably has

-an ileus in the bowel.

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-When you have

-an appendix operation...

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-..the bowel is taken out

-of the body.

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-It even has to be cleaned

-if the appendix has burst...

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-..and there's pus on the bowel.

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-If anyone touches the bowel,

-it tends to sulk!

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-It doesn't want to do anything.

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-Andrew started eating and drinking

-yesterday.

0:19:520:19:55

-The food has gone through

-his stomach and into his bowel.

0:19:560:20:00

-It's reached the part of the bowel

-that is inactive and it's stopped.

0:20:000:20:04

-There is no peristalsis

-as would normally happen.

0:20:040:20:09

-So Andrew's been throwing up

-and having diarrhoea.

0:20:090:20:12

-With diarrhoea, you can lose

-vital salts and potassium and so on.

0:20:120:20:18

-Things you need in your body.

0:20:180:20:20

-You lose them much faster

-than when you vomit.

0:20:200:20:23

-They think he's dehydrated. He's

-going to have two bags of fluid.

0:20:230:20:27

-One fast-action one

-over four hours...

0:20:270:20:30

-..and another

-for the rest of the night.

0:20:300:20:32

-He's not allowed to eat or drink.

-They hope he'll be better tomorrow.

0:20:330:20:37

-Gethin is back.

-His toes are pink and healthy.

0:20:470:20:51

-It's a good sign

-for a speedy recovery.

0:20:520:20:55

-I have two bandages.

-One is to stop scarring.

0:20:550:21:00

-They opened my leg there

-to insert the pin.

0:21:020:21:05

-They've also opened the bottom

-to put screws in...

0:21:050:21:08

-..to hold the pin in place.

0:21:090:21:10

-I also have two scars on the side...

0:21:100:21:12

-..where the screws

-are holding the pin in place.

0:21:130:21:16

-I think the pin will be in forever.

0:21:160:21:19

-Hopefully,

-it will keep my leg strong.

0:21:190:21:23

-I'm worried

-about going on aeroplanes.

0:21:240:21:27

-I'm not sure if I'll be able

-to go through security.

0:21:270:21:30

-I last broke my leg in April,

-about six months ago.

0:21:330:21:36

-I didn't have a pin so I was

-in a cast for three months.

0:21:370:21:42

-This time, I don't have a cast.

0:21:420:21:45

-So it'll be a little bit nicer.

0:21:450:21:48

-I'm sure it'll take less time

-to get better.

0:21:480:21:52

-I hope to be able

-to do more sooner...

0:21:520:21:55

-..rather than sitting at home

-watching TV.

0:21:550:21:58

-With the pin, my leg will be

-stronger in the long term.

0:21:580:22:02

-Obviously, it's a piece of metal.

0:22:020:22:04

-Hopefully, I won't break it again.

0:22:040:22:07

-Touch wood.

0:22:070:22:08

-The doctor has advised Gethin

-not to play rugby for a year.

0:22:110:22:15

-Seren keeps an eye on the latest

-developments in the diabetes world.

0:22:150:22:19

-Calum is breathing and sleeping

-better after having his tonsils out.

0:22:190:22:23

-Logan was allowed to go home

-that night.

0:22:240:22:28

-After 5 days in hospital,

-Andrew was allowed to go home.

0:22:280:22:33

-S4C Subtitles by Testun Cyf.

0:22:580:23:00

-.

0:23:010:23:01

Diabetes, torri coesau a chorwynt Ophelia! Does 'na'r un diwrnod 'ru'n fath ar Ward Plant, Ysbyty Gwynedd, Bangor. Diabetes, broken legs and hurricane Ophelia! It's all go on the ward.


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