Pennod 11 Ward Plant

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-Surgeon Mr Hill

-is on his way to theatre...

-..at the start of a new day.

-But one young patient is a bit late.

-Go down. I'll be there

-in ten minutes.

-Minffordd?

-Yes. Everything alright?

-We phoned to say we'd be late.

-We had children to take all over.

-I know!

-I know!

-

-Thanks.

-He's Mr Hill.

-He's Mr Hill.

-

-Oh!

-He's lovely.

-Hello!

-She greets the three

-frogs on the floor.

-The name of the little girl

-who is late is Lili Wen.

-Mr Hill is back, to have

-a chat before he starts work.

-Good morning, Mam and Dad.

-Good morning, Mam and Dad.

-

-Hiya.

-Hello, Lili Wen. Are you having fun?

-How is she?

-She's alright, but very irritable.

-This morning?

-This morning?

-

-Anyway. All the time.

-Every day?

-Every day?

-

-Yes. She's alright today, quiet.

-I've seen...

-..that Lili Wen is

-under 15 kilos this morning.

-So we'll only do the adenoids

-and grommets this morning...

-..not a tonsillectomy.

-It isn't safe under 15 kilos

-in a general hospital.

-Adenoids is the main problem.

-Right. She breathes

-through her mouth.

-Her nose is still blocked.

-When will she go to theatre?

-There's a bit of a delay.

-About nine, or ten past nine.

-Ta-ta, Lili Wen.

-Say ta-ta.

-That's in half an hour,

-so there's no time to wander.

-Here's a familiar face.

-It's Iris, Dylan's mother,

-with a group of friends.

-BACKGROUND CONVERSATION

-DYLAN HUMS

-Are you going to day hello?

-That's it, and a wave.

-Dylan was here a few weeks ago.

-He's a regular visitor.

-His mother and friends raise money

-constantly for the children's ward.

-Great.

-Here she is!

-Hello!

-How are you?

-How are you?

-

-Fine.

-Are you behaving?

-Are you behaving?

-

-Of course!

-Or they wouldn't let me in.

-Or they wouldn't let me in.

-

-True.

-This time, the money has gone

-towards repainting the entrance.

-It will show Barti Ddu's ship,

-to welcome young pirates.

-We had a concert in Rhos-y-Gad

-Chapel, Llanfairpwll...

-..to raise money

-for the children's ward.

-The children's ward is important.

-We're mothers and grandmothers.

-Some of our children

-have come here for treatment.

-The work they do in Ysbyty

-Gwynedd is very important.

-How much did you raise?

-1,083.

-We had local artistes...

-..like Triawd Edern and

-Steffan Lloyd Owen from Pentre Berw.

-And Cor Bro Nest.

-It was an excellent evening.

-Thanks very much

-to everyone who supported us.

-It's fantastic.

-It's so important that children feel

-comfortable in places like this.

-This will help.

-Yes.

-It's nice to see

-what happens to the money too.

-Rather than it going

-to one big pool.

-Let's have a look here.

-Can I see everybody?

-Brilliant. Thank you very much.

-LAUGHTER

-Dr Param is using

-Alfie McDonagh's X-ray...

-..to teach future doctors.

-You draw a perpendicular line

-across the heart shadow.

-The widest diameter on this side...

-..and this side, A, B, total them,

-that is the cardiac width.

-The lesson is over.

-Let's meet Alfie, who has been

-in Dewi Ward for over a week.

-The cough was the problem,

-you remember.

-He has stopped coughing.

-I think it's like one,

-then he has multiples.

-He has more distress like that

-than anything else.

-So he had a settled night?

-All night.

-Alfie has been on oxygen overnight.

-If the level can be brought down,

-he might be allowed home.

-He's doing very well.

-He's just static at the moment.

-We may have to bring it down again

-at some point today...

-..to see whether he copes

-with minimal oxygen.

-If we are able to come down

-further and further...

-..that's a sign that he may not rely

-on oxygen to sustain his breathing.

-Lili Wen's parents

-are a bit disappointed...

-..that she's too light

-to have her tonsils taken out.

-But Lili Wen isn't too bothered.

-When she first saw Mr Hill,

-she was 13.4.

-She was no way near

-having them taken out.

-We've fed her loads over Christmas.

-We really want her

-to have the operation.

-Darren and I have suffered with her.

-She suffers terribly too.

-She's grumpy and frustrated

-all the time.

-That's the worst part.

-The adenoids.

-It will make a hell of a difference.

-She can't breathe

-through her nose properly.

-She's like this all the time.

-She has a dry mouth

-all night and snores.

-She wakes herself up, snoring.

-She's had a sleep study.

-It showed abnormal activity.

-Plus she's grumpy with everyone.

-Aggressive.

-Yes.

-There must be a hell

-of a pressure here.

-She butts the floor or other things.

-We think it's to get

-rid of the pressure.

-She bites too.

-But it's in your family, isn't it?

-Yes, I had my tonsils

-taken out when I was 15...

-..but not the adenoids.

-Maybe I should have had that.

-BACKGROUND CONVERSATION

-Who is next on Dr Param's list?

-It's Max Johnson from Holyhead.

-Max, how are you?

-Is he better, Mum?

-He's getting there.

-It's just when he's sitting up

-by himself and standing...

-..he's like jelly still.

-Max has pneumonia.

-It's the third time he's had it.

-He hasn't eaten for almost a week.

-It's cause for concern.

-I'd be slightly worried about

-dehydration if he took no fluids.

-Feeds, especially soft diets,

-small volumes but frequent...

-..can tide over what we want.

-Because when you are ill,

-the first thing to go is appetite.

-Also, sometimes antibiotics don't

-help. On one side, you need them.

-But it can cause

-a metallic taste in the mouth.

-I'm not saying they are the reason.

-But sometimes, they can add

-to the problem as well.

-Next to arrive in Dewi Ward

-is a little baby with a big name...

-..Manawyd ap Rolant Roberts,

-who is only ten days old.

-Is it possible to take him out?

-Is it possible to take him out?

-

-Yes.

-Feet and hands are cold,

-but he's got a warm heart.

-He's going to have a thyroid test.

-From what I understand, it's

-to make sure he's growing properly.

-He seems to be.

-MANAWYD CRIES

-There, there!

-When we were

-on the maternity ward...

-..they wanted us

-to come back in ten days.

-I'm not sure if it's standard.

-I have a thyroid problem.

-I think that's why he's having it.

-They've been very good, fair play.

-I can't believe that

-he's gone to sleep straightaway!

-This way.

-Lili Wen, you arrived late...

-..like some spring flowers.

-Hurry now to get

-there first, Lili Wen...

-..to see the man who will heal you.

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-Max hasn't eaten for a week.

-Nain has come from Holyhead

-to try to persuade him to eat.

-Come on. Good boy.

-Mam has gone home

-for an hour or so to sleep.

-She hasn't slept much

-since she's been here.

-She's been here for almost a week.

-He isn't his usual self at all.

-He usually runs around.

-It's a shock,

-seeing him like this for a week.

-Last time he was in,

-he was in bed for two days.

-Then he was running about.

-He won't now.

-He has no energy at all.

-They say there's something

-on his chest.

-He had infections

-in his ear, throat and urine.

-They've tried

-all sorts of medications.

-But he spits it out.

-Do you want some medicine?

-MAX CRIES

-OK, OK!

-Come on, good boy.

-Do you want a chip?

-Lili Wen is back from theatre...

-..with grommets in her ears

-and without her adenoids.

-She ran there. How did she leave?

-She ran there. How did she leave?

-

-She was grumpy after theatre.

-They normally sleep

-after the anaesthetic.

-But she got up and

-didn't know where she was.

-She screamed.

-Nothing could settle her,

-not even chocolate!

-She calmed down

-after quarter of an hour.

-I think she wants to go home.

-She slept for half an hour.

-She's out playing.

-She's much better.

-The doctor says

-her breathing has improved.

-I want to play.

-I want to play.

-

-You can, now.

-Alfie is quiet.

-He is being fed

-through a nose tube.

-Alfie has been with us since a week

-Monday. This is the ninth day.

-He was ill for a week

-before coming here.

-He was chesty and wasn't eating.

-He was very poorly

-by the time he was admitted.

-He struggled to eat.

-The nasogastric tube helps him rest.

-His condition worsened the next day.

-He was back and forth between

-Optiflow and CPAP.

-He's on Optiflow at the moment.

-What is Optiflow?

-What is Optiflow?

-

-High flow oxygen.

-Whose baby is this?

-Whose baby is this?

-

-Mam and Dad. But he's mine for now!

-Next door, another little boy

-has a similar condition.

-Bedwyr has had complications

-since birth.

-He was resuscitated

-just after he was born.

-When he was three months old,

-he stopped gaining weight.

-Between the age of three and

-six months, he lost a lot of weight.

-There were complications

-for three months.

-We came to Ysbyty Gwynedd

-in September.

-They tried to figure out why

-he wasn't drinking for three weeks.

-They did tests in Alder Hey.

-They discovered

-that he can't swallow properly.

-He has liquid through an NG tube.

-He will have a stomach PEG.

-That might help reduce the amount

-of liquid going to his lungs.

-Our excellent community nurse...

-..explained that a tube goes either

-to the stomach or upper bowel.

-Liquid will go there

-rather than down the throat...

-..or down the face tube.

-It's better for Bedwyr.

-He suffers from reflux, too.

-That will reduce the reflux.

-How do people react

-to the face tube?

-They feel a great deal of sympathy.

-They feel sorry for him

-and hold his hand.

-There's no need.

-It looks more serious than it is.

-People stare when we're out.

-I'd prefer people to ask,

-but they don't like to.

-A lot of doctors

-are coming to see Max.

-Max is very lively.

-You want to walk?

-Shall we see if you can walk?

-Come on then, we'll try.

-OK.

-He hasn't got his leg splint on

-today.

-Walking is a big thing.

-Max has hemiplegia. Half

-his body isn't working properly.

-You're the star of the show, Max.

-Do I have to chase you?

-Got you!

-Are we going to see the doctor?

-I've got him. He can't run away!

-He looks very well.

-He's only just out of oxygen.

-We'd like to see him

-have a sleep without oxygen.

-We'll see how he goes

-over the course of the day.

-We're going home.

-We'll get the children from Nain's

-house, and Moli from the creche.

-Do you need

-to keep an eye on things?

-Nurse Bethan

-has gone to get us a leaflet.

-It's not a high risk operation.

-She's tired.

-She might sleep in the car.

-How about a little sleep?

-We're coming back in six to eight

-weeks to check her weight.

-If she's gained weight,

-she can have the tonsillectomy op.

-Hopefully, she won't need it.

-We'll see.

-She's quiet!

-Thanks, ta-ra.

-Lili Wen is going home

-to Rhosgadfan.

-But Alfie is staying

-one more night in hospital.

-But Mam is there to hold him tight.

-He's better.

-Coughing is the problem.

-It's almost finished.

-What is happening?

-We're giving him Salbutamol.

-He was having it every four hours.

-The doctor wants him to have it

-every three hours.

-He has a wheezy chest.

-One more.

-That's it.

-All done.

-Oh, dear.

-Has Bedwyr changed you?

-Yes.

-It's been a learning curve.

-I've become a bit of a Dr Google.

-Once a doctor mentions something,

-I check it on the Internet.

-It can drive you mad.

-Talking to other people is a help.

-An excellent professional team

-is looking after him.

-Angharad, the community nurse,

-explains a lot to us.

-She tells it as it is.

-It's helped to have someone

-as honest as her.

-She looks after us

-as well as Bedwyr.

-That's been a big help.

-Not many families have that support.

-It's nice to have it.

-Are you the same person?

-No. I can't say how I've changed.

-Sometimes,

-I panic about small things.

-But at the same time,

-I'm more chilled.

-I'm more aware of children's needs.

-I appreciate children more.

-They do grow up too fast.

-We need to appreciate what we have.

-Every child is different.

-When a child is unwell...

-..the world is upside-down.

-Bless those, who night and day...

-..provide love, faith and hope.

-The children will be

-as good as new soon.

-I'm a father too, and I know.

-Goodnight,

-and farewell Dewi Ward.

-Lili is breathing through her nose,

-but she still wakes up every night!

-Alfie had to come back to hospital,

-but he is much better.

-Max was ill for a couple of days,

-but he's fine now.

-Manawyd is waiting for the results

-of the blood test.

-Bedwyr is waiting to go to Alder Hey

-to have a stomach PEG.

-S4C Subtitles by Gwead

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