Pennod 8 Ward Plant

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-Ysbyty Gwynedd provides refuge

-at a time of crisis...

-..for children in North West Wales.

-Some are only here

-for a couple of hours.

-We'll be ready about 10 o'clock.

-I'll speak to you after that.

-When it's your child,

-everything goes through your mind.

-You don't know what to do

-for the best.

-Others are taken urgently

-to Liverpool.

-We have a transfer going out

-tonight. Could you go on it?

-It doesn't matter what age.

-It doesn't matter what age.

-

-I don't like needles!

-It's fine, you're on the children's

-ward. Everybody gets to have cream.

-You can be Mam's baby.

-I couldn't go to work.

-I'd be too worried.

-Or Dad's baby.

-There is a warm welcome and care

-available on the children's ward.

-This young man is Sean Cook.

-Five years ago, he had a cyst

-behind his left eardrum.

-It was taken out

-but it may have come back.

-Let's pop this cream on your hand.

-You're never too old

-for the magic cream.

-That will numb it all for you.

-So you shouldn't feel anything

-when you have the needle.

-I don't know if I'm supposed to

-have it but I'm a bit of a baby...

-..and I don't like needles

-or injections so I asked!

-It's fine. Everybody on the

-children's ward gets to have cream.

-I'm here today

-to have another operation on my ear.

-If I lie on one side in bed, I can't

-hear anything through my ear.

-So it's really affecting my hearing.

-The man who's going to give Sean

-the treatment he needs...

-..is Mr Philip Moore.

-It was always Mr Moore's dream

-to be a surgeon.

-I'd wanted to be a doctor since I

-was in primary school to be honest.

-I was lucky enough

-to pass my A level exams...

-..well enough

-to start studying Medicine...

-..in Barbados.

-Good morning.

-Good morning.

-

-Morning. How are you?

-So, what's been the problem

-recently?

-I'm still getting some discharge.

-OK. Any pain?

-No, it doesn't hurt.

-OK, right.

-We're going to have a look

-inside your ear.

-It's possible that we can just

-get rid of the infection...

-..and sort out the bones

-behind the ear drum.

-We'll just fix the ear drum.

-Hopefully everything will be OK

-after that.

-Mr Moore is talking about

-the mastoid bone.

-It's causing Sean some problems.

-It's possible

-that there is a new infection...

-..that has developed.

-That would be in the mastoid cavity.

-So we're just going to have a look

-to see what's going on...

-..and we're going to clean out

-the mastoid cavity again.

-OK.

-Well, we're be ready

-at about ten o'clock.

-I'll talk you after that.

-There we are.

-There we are.

-

-Thank you.

-You're welcome. See you later.

-We've seen him quite a few times.

-We're good friends!

-He's a bit of a character.

-He's very easy to talk to.

-It's easy to ask him questions.

-We're not shy at all. We've seen him

-enough times to be able to ask him.

-Hopefully we won't have to

-see him again after this time!

-It's difficult

-to ask a baby a question.

-It's also difficult when that baby

-is the mother's first child.

-I've just completed

-a paediatric first aid course.

-They tell you on the course

-to be completely calm...

-..but when it's your child

-it doesn't work like that.

-Everything goes through your mind.

-You don't know what to do

-for the best.

-But Mark, my partner,

-just told me to calm down.

-I phoned out of hours and 999...

-..and he helped calm Tili down.

-I'm so glad he was there.

-If I'd been on my own,

-I would have been a wreck.

-Tili came in around 5.00am

-yesterday morning.

-She's not been well

-over the last three or four weeks.

-They think it's a viral illness.

-She has had antibiotics this time...

-..just in case

-she had a blood infection as well.

-At the moment,

-her blood seems to be OK.

-But we need to wait for the results

-of her cultures tomorrow...

-..just to make sure they're clear

-before she stops taking antibiotics.

-A night in hospital for Tili.

-Here's Dad, with a bag full of stuff

-to pass the time.

-But I think Tili's had enough

-of being here already.

-Sorry, she does it every time.

-She's taken the tube out of her arm.

-You don't always need to be able to

-talk to say, "I'm ready to go home."

-There we go.

-There we go.

-

-Thank you.

-Cheeky monkey.

-The call has come for Sean. Mr Moore

-and his team are ready in theatre.

-Mr Cooke here. Sean.

-I'm Arwel. How are you?

-I'm Arwel. How are you?

-

-Not bad, thanks. Are you OK?

-Great.

-Have you come far?

-Have you come far?

-

-Pardon.

-Have you come far today?

-Have you come far today?

-

-No. Near Caernarfon.

-Are you a Cofi?

-Are you a Cofi?

-

-No, not quite.

-Cofis are the best.

-Cofis are the best.

-

-Best in the world.

-What are we doing today, Sean?

-What are we doing today, Sean?

-

-My ear.

-So we're looking at the mastoid

-and exploring it.

-On the right side. Is it marked?

-On the right side. Is it marked?

-

-Yes.

-Have you had anything to eat?

-Have you had anything to eat?

-

-No.

-Have you had any chewing gum?

-Have you had any chewing gum?

-

-No.

-No sips of Red Bull or anything?

-No sips of Red Bull or anything?

-

-No.

-We'll go down to the other room now.

-They've just redone the walls here.

-Do you like it?

-Do you like it?

-

-Nice.

-The artist was here

-for about a fortnight.

-It's really nice.

-OK? I don't think

-you need my help to drive!

-Back on Dewi Ward...

-..Dr Mair is assessing

-who's well enough to go home.

-Good morning.

-I'm fine, thank you. Hello!

-Let's have a listen.

-It's a bit more noisy today. It may

-be because it's all a bit looser.

-Has she been coughing much?

-Has she been coughing much?

-

-Yes.

-And when she sneezes,

-lots of mucus comes out.

-That's a good thing.

-It's not nice but it's good.

-Are you listening to me?

-She is definitely better.

-She may not be 100%

-but she's better than she was.

-If the cultures are negative,

-we'll take this out.

-She can go home

-to finish getting better.

-If there's anything in the cultures,

-we'll carry on with the antibiotics.

-But from looking at her today,

-I'm hopeful it will be clear.

-There we are. Great.

-Thank you.

-If the blood cultures

-are negative...

-..we'll stop the antibiotics

-and she can go home.

-Sean can't go anywhere

-before facing his fear of needles.

-You'll be fine.

-Has the magic cream worked?

-Not really.

-Can you feel my hand?

-No, not really.

-Let's squeeze your arm.

-Can you open and close your fist

-for me?

-Keep going.

-Just relax. Don't look.

-Just relax.

-Look at Mam.

-I've a lot of money here.

-Pretend you're grabbing it.

-Relax. Close your eyes and imagine

-you're in Dinas Dinlle.

-OK?

-Close your eyes. You're brave.

-There we go. It's over.

-The shop's closed.

-You can open this.

-That was OK, wasn't it?

-Yes.

-Yes.

-

-I didn't feel anything.

-Me neither. Did you, Mam?

-Me neither. Did you, Mam?

-

-No, I'm OK.

-I do this for everyone.

-Breathe in and out a few times.

-Try to get a good breathing rhythm.

-You just focus on taking nice deep

-breaths all the way in and out.

-Breathe in that pure oxygen.

-We're going to start

-drifting you off to sleep now.

-It sometimes feels a bit achey

-in your arm and a bit cold.

-It gives you very good dreams.

-Think of somewhere nice.

-You're going to feel

-more and more sleepy.

-Just go with that feeling.

-Well done.

-You're going to feel

-more and more sleepy.

-You might notice

-a bit of a sweet smell as well.

-This tube is going into

-Sean's lungs.

-Once it's in, we'll put air in this

-cuff which will seal everything.

-Nothing can go in or out

-of the lungs once it's in place.

-The way down isn't straight.

-They need a wire,

-called a stylet, to help.

-You can pop it in there.

-Put a nice bend on it.

-We're putting a stylet in the tube

-so that we can bend the tube...

-..to go around the corner,

-if you like.

-It will go into Sean's lungs.

-I'm just moving the lungs

-to make it easier for him to see.

-Pass me a 20ml one.

-OK, that's fine.

-That's in the right place.

-OK, that's all done.

-He can go into theatre now.

-Happy to go? Great.

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-Sometimes, a little girl can give

-her grandmother quite a fright.

-Isn't that right,

-Loti Wynn Williams?

-Loti Williams.

-Thank you.

-Especially when Nain is babysitting.

-Where would you like to sit?

-Where would you like to sit?

-

-It's up to you.

-Take a seat here.

-She's had to phone Dad

-to come to the hospital from work.

-Here he is.

-She hasn't been breathing well

-for the last two nights.

-She's got worse.

-Nain took her to the doctor today

-and the doctor sent her here...

-..to check out what's wrong

-with her little lungs.

-Isn't that right?

-She seems happy enough now.

-This is the best I've seen her

-for a while.

-There we are.

-Where are we then?

-And the doctor's coming now!

-Where's the doctor?

-I've come straight from work.

-I had to come.

-I wouldn't have been able to work.

-I'd be too worried.

-Hiya. I'm Tracey. I'll just

-take her temperature and so on.

-I'll ask you all the questions.

-Then a doctor will come to see her.

-Great.

-The first thing I need is a toe.

-So if you can take off her tights.

-Did you say she needs a clean nappy?

-There's a lot of rumbling

-going on down there.

-I'll fetch the scales

-and we'll weigh her as well.

-Can I change her here?

-Strip her off

-and I'll fetch the scales.

-Sean's operation was supposed to

-last two hours but has taken four.

-Do you want a drink?

-I have a horrible taste.

-We thought he'd only be in there for

-about 90 minutes so we were worried.

-But he seems OK.

-His face is more swollen this time

-than before.

-But we're just glad to see him back.

-I'll ask the doctor later.

-Just glad to have him back.

-What Sister Tracey is about to do

-to little Loti looks cruel.

-But it's not, I promise you.

-Yay!

-Good girl.

-There we go.

-Oh, missus.

-She did this last time, didn't she?

-There we are, lovely.

-Good girl.

-Without that large

-plastic mouthpiece...

-..the medicine would go everywhere.

-Even if it was used by an adult.

-Good girl.

-There you go.

-It's OK.

-It's OK.

-Yay!

-Good girl.

-Come here.

-The ENT specialist, Mr Moore,

-is from Barbados.

-He's back on Dewi Ward to explain

-why Sean was in theatre for so long.

-He explains in Welsh.

-I started learning Welsh

-after moving to Wales.

-That was seven years ago.

-I decided to learn the language...

-..because Welsh

-is the local language.

-I think it's easier to give

-good treatment to the patients...

-..if I can explain everything

-in their mother tongue.

-We've been able to take out

-all the infection.

-A cholesteatoma had grown again

-behind the eardrum.

-I'd always wanted to learn

-another language.

-So it's a wonderful experience.

-It was a massive opportunity...

-..just to start learning Welsh.

-Hopefully

-he won't have to come back again.

-We've packed the ear

-with an antibiotic dressing.

-Just like the last time...

-..we can take it out in clinic

-in three weeks.

-OK, great.

-Thank you very much.

-No problem at all.

-It looks as though Sean

-just needs to sleep for a while.

-He says it's really painful.

-Really? OK, we'll see.

-If he still feels ill, it's better

-that we keep him in overnight.

-Then he can go home in the morning.

-Alright.

-Great. Thank you.

-You're welcome.

-To be honest, my mother

-has also started learning Welsh!

-So sometimes,

-she sends me a message in Welsh!

-But to be honest,

-I think she uses Google Translate.

-Shall I follow you?

-Shall I follow you?

-

-Yes, that's it.

-Poor Loti has to stay in overnight.

-Her blood oxygen levels are too low.

-She'll be sleeping here tonight.

-This is her bed.

-You're going to jail!

-This is much better. She kept

-falling off the other one.

-I'll put this on her foot.

-Shall I put the sides up for you?

-Yes, or she'll climb out.

-Keeping Loti in is causing

-Sister Tracey some problems.

-Dr Kubwalo has decided...

-..that one of her patients

-has to go to Liverpool.

-That means one fewer nurse

-on Dewi Ward tonight.

-Ward 1C at Alder Hey.

-Ward 1C at Alder Hey.

-

-Transfer?

-Yes.

-Who's going to transfer him?

-Who's going to transfer him?

-

-Let's talk about it with Tracey.

-OK. Yeah. Yeah.

-Hi. Staff nurse here on Dewi Ward.

-Is Debbie about please?

-At the moment, we're full. We have

-one patient more than capacity.

-So we have to wait for Dr Kubwalo

-to review all the patients.

-But we also have a little baby

-who needs to go to Liverpool.

-So we have to try and find a nurse

-to come in to go with the baby.

-There's a little bit

-of organizing to do.

-We're looking for staff

-and it's 6.00pm.

-It's a bit short notice.

-Karen?

-Instead of what?

-Could she come in

-just to cover the transfer?

-Yeah.

-Yeah.

-

-I'll try her.

-Try everyone.

-Do you fancy going on a transfer?

-No, not on the transfer.

-Here to cover.

-Oh, no. Coming in to cover

-while there's a transfer.

-Don't worry if you can't.

-We have a transfer going tonight.

-Do you think you could go?

-No? No problem.

-She's on her way home from the gym.

-She'll discuss it with her husband.

-Within the hour, the baby

-is on the way to Liverpool.

-I managed to get hold

-of one of the girls...

-..to come in to cover the ward.

-One of the girls on the night shift

-will have to go on the transfer.

-So one girl is coming in just

-for a few hours to cover the ward.

-Just so that we have enough staff.

-It's one big jigsaw!

-Indeed, but it's fine. Sorted.

-The staffing problem

-has been solved.

-The nurses can carry on

-with the task...

-..of caring for

-the little patients on Dewi Ward.

-How do you feel now?

-Not bad, thanks.

-I'm starting to feel better.

-I'll put a bandage over this

-because it's a bit loose.

-How's the head? I understand

-you were a bit dizzy earlier.

-No, it's OK now.

-You had some pain relief earlier

-so that should have improved.

-Yes.

-I'm just going to check your

-heartbeat, pulse and temperature.

-Just to make sure you're OK

-after the operation.

-If you need anything overnight...

-..my name is Jess so please

-ring the bell or come to get me.

-Have you had enough to eat?

-And drink?

-Yes, thanks.

-Do you want a piece of toast?

-Do you want a piece of toast?

-

-I'm OK, thanks.

-Sean's operation was a success...

-..but he still has earache

-occasionally.

-Loti has to wait until she's two

-years old to have an asthma test.

-But at the moment,

-she's in good health.

-Tili is now a year old

-and is still catching colds!

-S4C Subtitles by Testun Cyf.

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