Pennod 9 Ward Plant


Pennod 9

Mae pob gwely yn llawn heddiw ar Ward Dewi wrth i'r ysbyty baratoi ar gyfer gwyliau hanner tymor. All beds are taken on Ward Dewi today as the hospital prepares for the half-ter...


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-Ysbyty Gwynedd

-serves the largest area in Wales.

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-Children from everywhere

-come here...

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-..which puts considerable pressure

-on one of the busiest wards.

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-We are full.

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-Not only are we full but Glan Clwyd

-and Wrexham are also full.

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-Some are used to being here.

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-He can explain how he's feeling

-but I have no idea what it's like.

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-We're learning together.

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-Others try their best to escape.

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-But everyone hopes

-for the same outcome.

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-It's all come back clear

-so we can stop the antibiotics.

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-To get better in order to go home.

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-Thank you.

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-Every year, hundreds of children

-come in and out of Dewi Ward.

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-But not every one of them

-lives in Gwynedd.

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-Some children

-with complex conditions...

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-..come to the area on holiday.

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-Usually, their local hospital

-will write to us...

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-..just to let us know that they're

-in the area between certain dates.

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-They tell us about their treatment.

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-We have a folder specifically

-for people on holiday.

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-These patients can call their local

-hospital when they're not well.

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-They use us in the same way and

-we communicate with their hospital.

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-People who are on holiday

-may not be seriously ill.

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-Sometimes they forget

-their pump or something...

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-..and that makes them ill.

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-But also, it's a bit tricky

-to send them home.

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-Usually, we try to keep children in

-hospital for as little as possible.

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-We like to send them home quickly.

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-But it's different

-when you're sending them back...

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-..to a tent on a mountain side!

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-They may not be familiar

-with the route back to hospital.

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-This is Lily from Wigan.

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-Her gran lives on Anglesey...

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-..and her family has a caravan

-near Porthmadog.

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-It's half term

-so the family has come on holiday.

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-Lily has a rare hormonal problem.

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-But staff at Ysbyty Gwynedd

-know all about it already.

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-The mother had been in touch so we'd

-given her what we call open access.

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-We'd received an email...

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-..from the specialist hospital

-she attends in Manchester.

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-That information comes to us and we

-follow the plan they put in place.

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-She doesn't need an IV, does she?

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-She doesn't need an IV, does she?

-

-But is she eating?

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-We can try giving her something.

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-I'll try and get a D number.

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-Lily has what is called

-idiopathic ketotic hypoglycaemia.

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-If she starts to vomit,

-it's difficult to get her to stop.

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-Because of that,

-her blood sugar levels go down...

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-..and the blood ketone levels

-go up.

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-That can be very dangerous.

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-Luckily for us tonight...

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-..Lily had stopped vomiting

-by the time she got here.

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-But she has a very detailed protocol

-regarding what to do.

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-We're supposed to try

-oral solutions first...

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-..but if that doesn't work, it would

-have to be a cannula and IV fluids.

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-The protocol we've received

-from Manchester...

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-..tells us exactly what to do.

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-Luckily, she's doing well.

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-She's had

-some anti-sickness medicine.

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-If she's OK for the next 30 minutes,

-they're going to head home.

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-She hasn't been sick at all

-since she arrived.

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-Thank you very very much.

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-Lily is ready

-to continue her holiday.

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-Bye!

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-Bye!

-

-Thank you.

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-It's all down to

-Ysbyty Gwynedd's expertise.

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-Dewi Ward is used to

-dealing with children...

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-..who have rare conditions.

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-Ysbyty Gwynedd

-serves a huge number of children...

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-..over a vast area.

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-That means that we sometimes

-have children in...

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-..with quite rare conditions.

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-I can think of one our patients,

-for example.

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-He's one of only 50 in the world

-who have his condition.

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-And here he is - Archie.

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-Everyone on Dewi Ward knows him.

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-Archie has ohtahara syndrome.

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-It's a severe type of epilepsy.

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-He was having up to 50-60

-seizures a day.

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-Now it's under 10.

-Fingers crossed it remains that way.

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-They say that people with the

-condition live about two years.

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-But they've given Archie

-a life expectancy...

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-..of between 6 and 16 years.

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-We hope that stays that way for now.

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-It's not a nice feeling

-but it's better than two years.

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-You know.

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-If he only had two years to live, it

-would mean so little time with him.

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-Now that he has longer to live, they

-may be able to do more by then...

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-..and he might end up being here

-for a long time.

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-Or longer than we expect.

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-Six or sixteen

-is better than one or two for me.

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-This next little boy is called Owen

-and he's also been through the mill.

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-He was born five weeks early.

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-At six weeks of age,

-he had E. coli meningitis.

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-He had it again at ten weeks.

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-He also had sepsis. Since then,

-his health hasn't been great.

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-Last night, he was just up...

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-..and he was making

-these jerky movements and crying.

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-I'm just worried that it might be

-a sign of something more serious.

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-He's been in Alder Hey

-in intensive care and everything.

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-Yes, he was on life support.

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-He's doing well

-but he gave us a fright last night.

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-I just want to know

-exactly what's going on.

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-Just in case he's having seizures.

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-He seems fine in himself otherwise.

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-But there's quite a bit

-of developmental delay.

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-He doesn't say anything yet.

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-But that's all

-in the process of improving.

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-You're getting support, aren't you?

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-You're getting support, aren't you?

-

-Yes, all the right support.

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-Your health visitor

-has been fantastic.

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-Yes, we just want to know

-what this is.

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-Waiting is hard

-when you're only 18 months old.

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-But Mam...

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-..and Nain...

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-..and Dad are all here.

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-It all helps to pass the time.

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-The doctor is a bit perplexed

-by Owen's condition.

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-He only has the seizures at night.

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-He seems perfectly healthy

-in the day.

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-Oh, your tummy's empty.

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-So now you need some juice.

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-What do you think? Juice?

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-Yeah, your tummy.

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-The next step is an EEG test.

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-It's an electronic examination

-of the head...

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-..to look for signs of epilepsy.

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-We're just hoping he can have this

-EEG so we can see what's going on.

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-It's easier if they can eliminate

-a few things.

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-That's what we want to do.

-If everything is fine, that's great.

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-But they need to be able

-to eliminate things.

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-While the doctor

-arranges everything...

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-..Owen finds an opportunity

-to escape - again!

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-But he won't get very far!

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-The front doors are locked

-and no-one new will come in tonight.

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-The ward is full!

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-We are full.

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-It's not that unusual

-but it's happened quite quickly.

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-It happened very quickly today.

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-It's November and it's 9.50pm.

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-Since mid afternoon, we've had

-one after another come in.

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-At the moment, I think we're OK.

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-There are a couple more

-waiting to be seen.

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-I think most of them

-are likely to be staying in.

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-But we may have one cubicle

-and one bed left.

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-Not only are we full but Glan Clwyd

-and Wrexham are also full.

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-If Wrexham is full

-and you live in Wrexham...

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-..you could go to Chester

-or even Alder Hey or Arrowe Park.

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-There are other hospitals

-quite close by.

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-If you're supposed to go to

-Glan Clwyd and they're full...

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-..you could either go to England

-or come here if we're open.

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-But if we're full, patients to the

-south or west of the hospital...

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-..have no choice

-but to drive further.

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-If someone has come all the way from

-Dolgellau or Blaenau Ffestiniog...

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-..it doesn't feel right to tell them

-to go back on the A55...

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-..and drive for another 100 miles

-to reach Liverpool.

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-So we have to make space for them

-somehow.

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-.

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-Subtitles

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-It's a new morning on Dewi Ward

-and every bed is full.

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-Thankfully,

-there was no crisis overnight.

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-It was alright overnight

-to be honest.

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-Typical.

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-We're preparing

-a couple of things...

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-..before handing over

-to the day staff...

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-..who should be here

-in about ten minutes hopefully.

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-Time for the night shift

-to leave...

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-..and for the doctors to decide

-who's well enough to go home.

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-To make room for some new patients.

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-My name is Owen Williams

-and I live in Felinheli.

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-I'm here today

-because I have a chest infection.

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-Owen is also a haemophiliac.

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-If he has an injury or a bruise,

-his blood won't clot.

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-When he was a little baby

-having his immunisations...

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-..he had to have them

-here on the ward...

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-..rather than

-with the health visitor.

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-We've had a few issues.

-What's happened?

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-You've had a bleed

-into your knee twice.

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-A bleed into your hip twice.

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-And a stint

-when he was struggling to breathe.

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-That's why they have to be very

-careful if he has a chest infection.

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-He could be bleeding inside

-without anyone knowing.

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-I'll take your pulse as well.

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-There are some sports

-I'm not allowed to do...

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-..like karate, boxing and rugby.

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-I have played rugby before

-but not contact.

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-It was touch rugby.

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-When we moved on to contact,

-I had to stop.

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-If he has a bleed into a joint...

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-..because it's encapsulated

-it will continue to bleed...

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-..and it causes stiffness and pain.

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-If it's left untreated, it can lead

-to problems such as rheumatism...

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-..at a very young age.

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-So usually,

-if it's quite a small injury...

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-..we have a medicine he can take.

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-If it's a more serious injury

-or if he needs an operation...

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-..he has to have intravenous.

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-He's under the care

-of Alder Hey Hospital in Liverpool.

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-They've been so supportive

-in teaching us...

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-..how to give him the treatment.

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-They've also gradually taught Owi

-how to treat himself.

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-It's something he'll have to learn

-to live with during his life.

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-If I bruise badly...

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-..I take some medicine.

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-Not every day.

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-There are varying levels

-of severity.

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-Yes, severe and...

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-Which one are you?

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-Mild.

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-He has to be aware

-and be able to treat himself.

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-My cousin has it.

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-Because we don't really know much

-about it, we've talked to him a lot.

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-For example,

-he does a lot of cycling.

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-He explained that when you go to

-the gym and your legs feel stiff...

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-..that's how it feels but it doesn't

-improve - it just gets worse.

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-Owi can explain to me how it feels.

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-But I don't know how it feels.

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-We're learning together, aren't we?

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-I could have worse things.

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-Caio also has to live with a disease

-that he'll have throughout his life.

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-Are you OK? Caio?

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-Yes. I'm just going to check

-your blood sugar.

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-I'm sure you're well used to this.

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-Where shall I do it?

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-Caio has come

-to have his adenoids out.

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-But because he has

-type 1 diabetes...

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-..they must ensure that

-his blood sugar levels are fine...

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-..before giving him anaesthetic.

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-OK. 6.4.

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-I'll go to tell Jan, the nurse.

-She'll carry on.

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-There we are.

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-OK?

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-OK?

-

-Thank you.

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-The reading says 6.4.

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-That's perfect.

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-There's no time to waste.

-Caio is ready for his treatment.

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-He hopes it will help

-everyone to sleep.

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-I hope that I won't snore any more

-and also that I'll hear better.

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-I have difficulty hearing.

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-Sometimes I shout

-and I don't realize.

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-So it should help with that as well.

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-You can come.

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-Yes, Mum comes.

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-Yes, you can be with him

-until he goes to sleep.

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-Owen Williams?

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-Can you come through

-to the X-ray room?

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-Owen has to have an X-ray

-on his chest...

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-..and some blood tests.

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-He's been coming to hospital

-since he was a baby...

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-..and the staff know him well.

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-Eleri isn't one

-to miss an opportunity.

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-Owen has to come back

-for a blood test.

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-Owen is one of

-my haematology patients.

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-Because he has to be

-treated often...

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-..inhibitors can develop

-in his blood.

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-Depending on how many there are...

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-..that can affect

-how clotting factor VIII works.

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-Because Owen is a haemophiliac...

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-..he doesn't have enough factor VIII

-in his body unlike other people.

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-So we have to help him

-if he has a little accident.

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-By giving him factor VIII...

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-..we're introducing something to

-his body which shouldn't be there.

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-Those are the inhibitors.

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-Every three months,

-haemophiliacs have a blood test....

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-..to make sure

-there are no inhibitors.

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-If there is a problem,

-we adjust the treatment accordingly.

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-So far, it's been negative.

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-Let's see. I like that one.

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-I think we'll go for that one.

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-Juicy juicy!

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-Just to be clear, Eleri is talking

-about the vein - not the boy!

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-No, not that.

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-Do you want any cream?

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-Do you want any cream?

-

-No, thank you.

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-Go on.

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-Go on.

-

-But it's cold.

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-Do you want the spray?

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-Do you want the spray?

-

-Yes.

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-Yes, what?

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-Yes, what?

-

-Yes, please.

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-It's freezing!

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-There we are. Done.

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-There you go, darling.

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-It's a good colour.

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-OK. All done.

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-Well done.

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-There we go, Mr.

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-Thank you.

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-Thank you.

-

-You're most welcome. I did nothing!

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-Thank you.

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-William Rhys Roberts is coming in

-for a blood test result.

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-He's only three weeks old.

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-He was rushed in two days ago

-because of vomiting and a skin rash.

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-Since then,

-he's been on antibiotics...

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-..to protect him from sepsis

-and meningitis.

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-I have some good news.

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-We did the blood cultures

-and we tested the urine as well...

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-..and we took a little sample

-from his back.

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-They've all come back clear.

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-So we can stop the antibiotics.

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-I'll ask the nurses to come

-to take out the cannula.

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-We'll have a look at him.

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-We'll make sure

-everything else is OK...

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-..then hopefully

-it'll be home sweet home.

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-OK? So I'll just let the nurses come

-to take out the cannula.

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-Then we'll sort everything out.

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-Thank you.

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-Caio, who has type 1 diabetes,

-is back from theatre.

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-But he won't be left in peace

-to come round.

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-They have to test

-his blood sugar levels again.

0:19:100:19:14

-Sorry.

-Just as you were going to eat.

0:19:150:19:18

-Sorry. I won't be two minutes.

0:19:180:19:20

-Can I just rest this there?

0:19:220:19:24

-I put those there

-when you were asleep.

0:19:270:19:30

-In case you bleed.

0:19:300:19:32

-We're checking Caio's blood

-every 30 minutes.

0:19:370:19:41

-He wasn't able to eat properly

-before going to theatre.

0:19:410:19:45

-So we just need to check

-that his blood sugar levels are OK.

0:19:460:19:50

-There we are. It's 8.7. OK?

0:19:510:19:53

-There you are.

-You can have your food now.

0:19:540:19:58

-I've had a chat with the consultant.

0:20:060:20:09

-He's happy with the plan.

0:20:090:20:12

-I'll have a quick look at him

-while he's feeding.

0:20:130:20:16

-Have you had an appointment?

0:20:180:20:19

-Have you had an appointment?

-

-Not yet.

0:20:190:20:21

-The plan is to go home.

-No more antibiotics, OK?

0:20:260:20:29

-Keep an eye on him

-and on his feeding.

0:20:310:20:35

-How much does he normally have?

0:20:360:20:37

-He was having 5oz every 3-4 hours.

0:20:380:20:42

-And what's he having now?

0:20:420:20:45

-About 2-3oz at the most.

0:20:450:20:48

-Fine.

0:20:480:20:49

-That's enough for him

-according to the calculations.

0:20:500:20:53

-He should be having 2.5oz.

0:20:530:20:56

-Gradually, as he gets better,

-you can build it back up.

0:20:570:21:01

-Make sure he has plenty

-of wet nappies.

0:21:020:21:04

-That will obviously be a sign

-of how much hydration he's getting.

0:21:050:21:09

-If you're concerned at all, give us

-a shout over the next 24 hours.

0:21:110:21:16

-Oh, hello. We've woken you up!

0:21:160:21:19

-He looks beautiful and great

-at the moment.

0:21:200:21:24

-OK?

0:21:240:21:25

-The number for the ward is there.

0:21:250:21:27

-So if there are any problems,

-give us a shout.

0:21:280:21:30

-Right, take him home, OK?

0:21:310:21:33

-Thank you.

0:21:330:21:34

-That's great.

-We'll take him home now.

0:21:380:21:41

-We just need to

-keep an eye on him for 24 hours.

0:21:420:21:44

-Hopefully

-we won't have to bring him back.

0:21:450:21:48

-Another day comes to an end.

0:21:510:21:53

-It wasn't as crazy as yesterday

-but tomorrow is another day.

0:21:540:21:59

-Archie had reacted to the MMR jab.

0:22:080:22:10

-The spots disappeared

-within a few days.

0:22:100:22:13

-Owen's virus has cleared and he's

-not on any medication at the moment.

0:22:140:22:19

-Caio is waiting for an operation

-to close the hole in his ear.

0:22:200:22:25

-Owen's EEG scan came back clear.

-He doesn't have epilepsy.

0:22:250:22:30

-S4C Subtitles by Testun Cyf.

0:22:560:22:58

-.

0:22:580:22:58

Mae pob gwely yn llawn heddiw ar Ward Dewi wrth i'r ysbyty baratoi ar gyfer gwyliau hanner tymor. All beds are taken on Ward Dewi today as the hospital prepares for the half-term holidays.


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