Pennod 3

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0:00:15 > 0:00:19- The sun sets once more - over Ysbyty Gwynedd.

0:00:20 > 0:00:25- But the doors of Dewi Ward, - the children's ward, never close.

0:00:26 > 0:00:30- There will be no rest - while there are sick children here.

0:00:32 > 0:00:34- This is Caio. He's six.

0:00:35 > 0:00:40- He was crying and screaming after - school because his stomach ached.

0:00:40 > 0:00:42- We've been to the doctor.

0:00:42 > 0:00:46- The doctor thought maybe - his appendix was playing up.

0:00:47 > 0:00:51- We weren't sure. He had - a temperature and dehydration.

0:00:51 > 0:00:53- He's quieter now.

0:00:57 > 0:01:02- One of Dewi Ward's regular - visitors is in a room on his own.

0:01:03 > 0:01:05- This is Riley.

0:01:05 > 0:01:09- He has been coming back and forth - with a rash on his face.

0:01:09 > 0:01:12- The rash has spread - to his tummy and back.

0:01:13 > 0:01:19- They still think it's because he had - his face painted for Halloween.

0:01:20 > 0:01:22- He also has a temperature.

0:01:23 > 0:01:26- He has started - on antibiotics because of that.

0:01:26 > 0:01:30- He has two problems now, - the temperature and the rash.

0:01:30 > 0:01:34- He is on antibiotics - for the temperature.

0:01:34 > 0:01:37- We're carrying on - with cream for the rash.

0:01:37 > 0:01:40- The skin specialist - is going to see him too.

0:01:40 > 0:01:44- We're going to look - in your mouth. Tongue out.

0:01:44 > 0:01:49- Does he have measles? They - can't be too careful with Riley.

0:01:50 > 0:01:52- I don't think it is measles.

0:01:53 > 0:01:56- He's an oncology patient. - He has cancer.

0:01:56 > 0:01:59- If they have a temperature - of 38 at home...

0:01:59 > 0:02:03- ..they have to come to hospital, - in case it's serious.

0:02:04 > 0:02:06- When they have chemo...

0:02:07 > 0:02:10- ..the white cell count goes down.

0:02:11 > 0:02:15- It's a precaution - more than anything.

0:02:18 > 0:02:20- He doesn't have spots in his mouth.

0:02:20 > 0:02:23- But that doesn't mean - he hasn't got measles.

0:02:24 > 0:02:26- Let's look behind your ears.

0:02:27 > 0:02:29- His ears are so sore, bless him.

0:02:29 > 0:02:31- They are.

0:02:31 > 0:02:33- It's just the distribution.

0:02:33 > 0:02:35- It's quite concerning really.

0:02:36 > 0:02:40- Until the doctors find out - what caused the spots...

0:02:40 > 0:02:44- ..Riley has to stay on his own, - in case the spots are infectious.

0:02:46 > 0:02:50- He isn't the only one - who has to be kept apart.

0:02:50 > 0:02:53- This is Alfie. - He came here last night.

0:02:53 > 0:02:58- He was poorly at home with a high - temperature and couldn't drink.

0:02:58 > 0:03:01- As a result, - he hadn't had a pee all day.

0:03:01 > 0:03:04- Last night, he had - a big rash round his mouth...

0:03:05 > 0:03:07- ..and on his hands and feet.

0:03:08 > 0:03:12- They're classic symptoms - of hand, foot and mouth.

0:03:13 > 0:03:15- It's highly contagious.

0:03:15 > 0:03:19- At this age, - it spreads very quickly.

0:03:33 > 0:03:35- Raise your right leg.

0:03:37 > 0:03:38- Good.

0:03:38 > 0:03:39- Straight.

0:03:41 > 0:03:45- Dr Shabaz Khan is considering - what to do with Caio.

0:03:46 > 0:03:47- I'm not very convinced.

0:03:48 > 0:03:52- Many of the signs for appendix, - they're not there.

0:03:53 > 0:03:55- But we can't be 100% sure...

0:03:56 > 0:03:59- ..since he had - a temperature and everything.

0:03:59 > 0:04:01- It's best to keep him in for now.

0:04:02 > 0:04:06- They're going to do blood tests - to see if it's the appendix...

0:04:07 > 0:04:11- ..and check on the pain - again in the morning.

0:04:12 > 0:04:17- Before going back to his bed, - Caio has to have an X-ray.

0:04:18 > 0:04:22- Caio has been seen - by the children's doctors.

0:04:22 > 0:04:27- They want him to have a chest X-ray - because he coughs a lot.

0:04:27 > 0:04:30- Sometimes, colds - can cause stomach ache.

0:04:30 > 0:04:33- He's having a chest X-ray...

0:04:33 > 0:04:38- ..to check if anything else - is causing his stomach aches.

0:04:38 > 0:04:42- He's a bit nervous, - but he'll be absolutely fine.

0:04:42 > 0:04:48- OK, Caio? We'll take you back to bed - soon. We'll see what's going on.

0:04:54 > 0:04:58- It's a new morning. - A new doctor has come to see Caio.

0:04:59 > 0:05:03- His first language is Welsh. - I'll translate as we go along.

0:05:04 > 0:05:06- Can I loosen your trousers a bit?

0:05:06 > 0:05:09- Any pain in the testicles? - Can you ask him?

0:05:09 > 0:05:14- Your goolies don't hurt, do they? - It doesn't hurt when you pee?

0:05:15 > 0:05:17- Sure?

0:05:17 > 0:05:18- Sure?- - Yes.

0:05:18 > 0:05:22- I'm going to feel your tummy a bit, - but I won't hurt you, OK?

0:05:24 > 0:05:27- He is no better or worse - than last night.

0:05:28 > 0:05:30- But something isn't right.

0:05:30 > 0:05:31- Anything here?

0:05:32 > 0:05:33- Anything here?

0:05:34 > 0:05:35- Anything here?

0:05:36 > 0:05:37- Anything down here?

0:05:37 > 0:05:39- No? Nothing here?

0:05:39 > 0:05:40- Anything here?

0:05:40 > 0:05:41- Anything here?- - Ie.

0:05:41 > 0:05:42- Yes or no?

0:05:42 > 0:05:43- Yes or no?- - Yes.

0:05:44 > 0:05:46- Do you do any sports?

0:05:46 > 0:05:50- Do you like rugby, football? - What do you like to do?

0:05:50 > 0:05:51- Football.

0:05:52 > 0:05:53- You like football?

0:05:53 > 0:05:55- You like football?- - Yes.

0:05:55 > 0:05:58- I'm going to tap your tummy - a little bit.

0:05:58 > 0:06:02- Dr Rupasinghe wants to know - where exactly the pain is.

0:06:03 > 0:06:06- Removing an appendix - isn't a minor matter.

0:06:06 > 0:06:09- They have to be sure - that is the problem.

0:06:09 > 0:06:13- You think you can jump with me? - OK, come down.

0:06:14 > 0:06:15- COUGHS

0:06:16 > 0:06:18- Can you do like this?

0:06:18 > 0:06:19- Any pain?

0:06:20 > 0:06:21- Nothing at all?

0:06:22 > 0:06:24- OK. You can sit.

0:06:24 > 0:06:26- You can sit now.

0:06:28 > 0:06:32- It's not very clear - whether it's appendicitis or not.

0:06:32 > 0:06:36- But my personal feeling - is a little towards appendicitis.

0:06:36 > 0:06:38- There is no one test for it.

0:06:39 > 0:06:43- It's a clinical diagnosis - unless you do a CT scan.

0:06:43 > 0:06:46- I may have to ask him - to keep fasting.

0:06:46 > 0:06:48- I'll discuss it with my consultant.

0:06:49 > 0:06:53- We may have to make a small cut - and take his appendix out.

0:06:53 > 0:06:54- OK.

0:06:56 > 0:06:57- DOCTOR CHUCKLES

0:06:57 > 0:06:59- If you want to wait for one day...

0:07:00 > 0:07:03- ..that's an option - I can tell my consultant.

0:07:04 > 0:07:08- Dad has arrived - to find out what's happening.

0:07:08 > 0:07:12- They might make a cut - and take it out...

0:07:13 > 0:07:15- ..because there's an infection.

0:07:16 > 0:07:19- I asked if we could wait or go home.

0:07:19 > 0:07:23- But they weren't happy at all for - him to go home with an infection.

0:07:24 > 0:07:26- Another blood test is an option...

0:07:26 > 0:07:30- ..to see if the inflammatory - markers have gone down.

0:07:30 > 0:07:31- CAIO COUGHS

0:07:31 > 0:07:33- CAIO COUGHS- - We'll see what they say.

0:07:33 > 0:07:34- I want food.

0:07:34 > 0:07:35- I want food.- - Not just now.

0:07:36 > 0:07:37- We should wait.

0:07:37 > 0:07:38- We should wait.- - I think so.

0:07:39 > 0:07:43- An operation is the last resort. - We'll see what they say.

0:07:44 > 0:07:45- I want food.

0:07:46 > 0:07:47- I know, love.

0:07:52 > 0:07:54- This little girl is Maisy Summers.

0:07:54 > 0:07:59- She has arrived in the children's - Dewi Ward with her parents.

0:08:05 > 0:08:07- What has happened?

0:08:09 > 0:08:12- When I was at work Tuesday night...

0:08:12 > 0:08:15- ..Claire saw spots - all over Maisy's body.

0:08:17 > 0:08:20- Initially, she thought - it was chickenpox.

0:08:20 > 0:08:24- We waited to see - if they cleared up or got worse.

0:08:24 > 0:08:25- Was she ill?

0:08:26 > 0:08:30- She was a bit whingey. She had - diarrhoea and was a bit sick.

0:08:31 > 0:08:34- Claire picked her up - yesterday afternoon.

0:08:34 > 0:08:36- She whinged a lot.

0:08:36 > 0:08:38- She checked under Maisy's arm.

0:08:39 > 0:08:42- The spots had become a blister.

0:08:42 > 0:08:43- OK.

0:08:44 > 0:08:48- They think it's an infection. - She had antibiotics yesterday.

0:08:48 > 0:08:49- What antibiotics?

0:08:49 > 0:08:50- What antibiotics?- - Flucloxacillin.

0:08:52 > 0:08:53- Starting yesterday?

0:08:53 > 0:08:55- Starting yesterday?- - She's had three doses.

0:09:02 > 0:09:03- Is the ear nice?

0:09:13 > 0:09:17- Caio's doctors - have made a decision.

0:09:17 > 0:09:20- We're waiting to go to theatre.

0:09:20 > 0:09:25- Caio is going to have the operation - to remove his appendix.

0:09:26 > 0:09:28- There's an infection somewhere.

0:09:28 > 0:09:33- They want to check the appendix. - He still has a stomach ache.

0:09:34 > 0:09:38- The worst thing is he can't - eat. All he does is ask for food.

0:09:38 > 0:09:40- I think he's weak.

0:09:41 > 0:09:43- He likes his food.

0:09:44 > 0:09:46- It's hard to say with stomach ache.

0:09:46 > 0:09:50- Children aren't good - at saying where the pain is.

0:09:51 > 0:09:56- We're just waiting - for his turn to go to theatre.

0:09:57 > 0:10:01- There has also been a decision - about Maisy's treatment.

0:10:01 > 0:10:06- They've decided to keep her in - to give her a course of antibiotics.

0:10:07 > 0:10:12- The antibiotics the doctor - gave her weren't strong enough...

0:10:12 > 0:10:15- ..to go round the body - and reach the arm.

0:10:16 > 0:10:21- She's had to have a drip and this - little thing for the antibiotics.

0:10:23 > 0:10:28- They want to give her four doses - a day until they see a difference.

0:10:30 > 0:10:32- That's what we know now.

0:10:33 > 0:10:36- We don't know - how long she'll be in for.

0:10:36 > 0:10:39- But she's in the best place.

0:10:40 > 0:10:43- It's very sad to see her like this.

0:10:43 > 0:10:47- No parent wants to see their - child ill, suffering, or in pain.

0:10:48 > 0:10:51- At the end of the day, - she's in the best place.

0:10:52 > 0:10:54- She's getting the best treatment.

0:10:56 > 0:10:59- Yesterday, the doctor - said it's an infection.

0:11:00 > 0:11:03- A course of antibiotics - should do the trick.

0:11:04 > 0:11:09- We'd like to have a bit more - information about what it is.

0:11:12 > 0:11:16- It has doubled in size - since yesterday.

0:11:18 > 0:11:19- Hasn't it, baby?

0:11:23 > 0:11:24- There you are.

0:11:25 > 0:11:27- After a long, hungry night...

0:11:27 > 0:11:32- ..the trolley has arrived at last - to take Caio to theatre.

0:11:32 > 0:11:36- When he comes back, - he won't be the same boy.

0:11:36 > 0:11:36- .

0:12:13 > 0:12:13- Subtitles

0:12:13 > 0:12:15- Subtitles- - Subtitles

0:12:18 > 0:12:21- It's miserable to be - in a room on your own.

0:12:21 > 0:12:23- Riley can entertain himself.

0:12:24 > 0:12:27- He's drawing pictures - to give to friends.

0:12:28 > 0:12:31- The first is for Dr Helen Poole.

0:12:31 > 0:12:33- The first is for Dr Helen Poole.- - Riley, is that a lion?

0:12:34 > 0:12:35- Yes.

0:12:35 > 0:12:36- Yes.- - Brilliant.

0:12:36 > 0:12:38- I think that's a giraffe.

0:12:39 > 0:12:44- Do you know what my favourite animal - is in the whole world? A giraffe.

0:12:45 > 0:12:47- Riley's friend wants to say hello.

0:12:47 > 0:12:49- But he isn't allowed.

0:12:50 > 0:12:53- Riley can't come down. - He might get an infection.

0:12:54 > 0:12:57- If you look all the way - down there... Riley!

0:12:57 > 0:13:01- Wave. Can you see him?

0:13:05 > 0:13:09- Toby is in hospital because - a stone is stuck in his ear.

0:13:11 > 0:13:13- There's a good boy.

0:13:16 > 0:13:19- Caio is back. - But the appendix isn't.

0:13:19 > 0:13:21- The treatment is going well.

0:13:22 > 0:13:25- The appendix was infected.

0:13:27 > 0:13:29- When he was in recovery...

0:13:29 > 0:13:33- ..the tubes down his throat...

0:13:33 > 0:13:36- ..aggravated his cough.

0:13:38 > 0:13:41- He can't eat, - so he can't have his food.

0:13:42 > 0:13:44- It's almost 99.

0:13:44 > 0:13:47- You're a tough guy.

0:13:48 > 0:13:50- You've been so good.

0:13:51 > 0:13:54- We're trying to rest.

0:13:55 > 0:13:58- Sipping water helps his throat.

0:13:59 > 0:14:01- Have a rest.

0:14:02 > 0:14:04- Then we can go.

0:14:05 > 0:14:06- I hope!

0:14:14 > 0:14:18- Maisy is on a drip. - She'll sleep here tonight, too.

0:14:18 > 0:14:24- They've continued - with the antibiotics.

0:14:24 > 0:14:26- The infection has cleared.

0:14:26 > 0:14:31- The skin has healed, apart from - an infection around the edges.

0:14:31 > 0:14:36- They've suggested - perhaps it's a spider bite.

0:14:38 > 0:14:43- It's shocking, really, - especially this time of year.

0:14:44 > 0:14:48- But it's been warm for so long...

0:14:48 > 0:14:53- ..false widow spiders - are still going strong.

0:14:53 > 0:14:56- No-one knows - what caused the infection.

0:14:57 > 0:15:00- But everyone wants her - to get better.

0:15:00 > 0:15:01- She's alright.

0:15:02 > 0:15:05- What I don't like, - and find depressing...

0:15:06 > 0:15:09- ..is they have - to remove the old drip...

0:15:09 > 0:15:12- ..and put it somewhere else.

0:15:12 > 0:15:15- That's testing.

0:15:15 > 0:15:19- I have to hold my baby down, - and hear her scream.

0:15:20 > 0:15:24- But I have to let them put - the drip in.

0:15:24 > 0:15:26- It isn't nice.

0:15:27 > 0:15:31- This baby is used - to coming to Dewi Ward.

0:15:31 > 0:15:34- This is Tomos Evans. He's a twin.

0:15:34 > 0:15:37- Dylan, his brother, is home.

0:15:37 > 0:15:41- Tomos and Dylan - were born 11 months ago.

0:15:41 > 0:15:45- They were three and a half - months early.

0:15:45 > 0:15:47- Tomos was one pound, twelve.

0:15:48 > 0:15:50- Dylan was two pounds, two.

0:15:50 > 0:15:53- They've gone through a lot.

0:15:54 > 0:15:58- They were in hospital - for three months.

0:15:59 > 0:16:03- We've been home since the end - of March. They've been doing great.

0:16:04 > 0:16:08- This is the second time - we've come in with Tomos.

0:16:08 > 0:16:10- He had bronchiolitis.

0:16:10 > 0:16:13- He's had a cold for a week.

0:16:14 > 0:16:17- He needs oxygen and a little help.

0:16:17 > 0:16:21- His brother was in yesterday - with croup.

0:16:21 > 0:16:25- He's home with Dad - and his three sisters.

0:16:26 > 0:16:29- Everyone helps to look after Dylan.

0:16:31 > 0:16:35- Riley's rash is still puzzling - the doctors.

0:16:35 > 0:16:38- We're not sure - what the condition is.

0:16:38 > 0:16:42- He doesn't have the blisters - that come with chickenpox.

0:16:43 > 0:16:48- It could be slap cheek - or hand, foot and mouth.

0:16:50 > 0:16:55- Riley's white blood cells - are not as they should be.

0:16:55 > 0:16:58- That makes things - more difficult for him.

0:17:00 > 0:17:04- He was diagnosed with - non-Hodgkin lymphoma B-cell...

0:17:04 > 0:17:07- ..in July, 2014.

0:17:07 > 0:17:10- He wasn't quite five years old.

0:17:10 > 0:17:14- I've seen him growing up. - They change so quickly.

0:17:15 > 0:17:18- Am I doing this right? - Right, go on. Pull.

0:17:21 > 0:17:23- Watch your head!

0:17:24 > 0:17:27- When he was diagnosed, - he had a lump on his head.

0:17:27 > 0:17:32- Mum thought nothing of it, - until he began to lose his hair.

0:17:32 > 0:17:34- That's how he was diagnosed.

0:17:35 > 0:17:38- He was supposed to go - to Alder Hey today...

0:17:38 > 0:17:42- ..following - non-Hodgkin lymphoma protocol.

0:17:42 > 0:17:44- They treat it like leukaemia.

0:17:44 > 0:17:49- He has to go to theatre, to Alder - Hey and to me for a blood test.

0:17:49 > 0:17:53- We'll have to postpone that - for a week...

0:17:53 > 0:17:57- ..until there's a change - in the blood cells.

0:17:58 > 0:18:00- Then we'll take it from there.

0:18:00 > 0:18:03- There's time for another drawing, - then.

0:18:03 > 0:18:07- Please can I come with you - to give it to Toby, please?

0:18:07 > 0:18:11- You can't, and do you know why? - You might give Toby this rash.

0:18:11 > 0:18:15- You don't want anyone else - to have this rash, do you?

0:18:15 > 0:18:21- But Toby isn't there. It's time - to remove the stone from his ear.

0:18:23 > 0:18:25- We'll give him one chance, OK?

0:18:26 > 0:18:28- I don't like it.

0:18:28 > 0:18:32- Toby, look. Listen.

0:18:32 > 0:18:35- Count on this hand, - and I will be finished.

0:18:35 > 0:18:38- When you cry, - I can't get the stone.

0:18:39 > 0:18:44- Dr Mohammed El Sayed tries to remove - the stone without anaesthetic.

0:18:44 > 0:18:48- It isn't easy when - Toby is so distressed.

0:18:50 > 0:18:52- You're such a brave boy.

0:18:52 > 0:18:54- You're such a brave boy.- - Are you going to count?

0:18:54 > 0:18:57- You're such a brave boy.

0:18:57 > 0:18:58- Stop!

0:18:58 > 0:19:00- Stop!- - One minute.

0:19:00 > 0:19:03- Look, stop it.

0:19:04 > 0:19:08- Dad tries his best to calm him.

0:19:08 > 0:19:11- But Toby has to go to theatre.

0:19:18 > 0:19:21- Tomos is too poorly to complain.

0:19:25 > 0:19:29- He's such a happy baby, usually.

0:19:30 > 0:19:32- He smiles...

0:19:32 > 0:19:34- ..and looks round.

0:19:34 > 0:19:38- He's flat now. - I don't normally see him like this.

0:19:39 > 0:19:43- Babies catch viruses - this time of year.

0:19:44 > 0:19:47- There's nothing they can give him.

0:19:47 > 0:19:52- All they can do is support him - with oxygen and a nebulizer...

0:19:52 > 0:19:56- ..to get rid of the stuff.

0:19:58 > 0:20:01- My eldest daughter is ten today.

0:20:02 > 0:20:04- I wasn't home this morning.

0:20:05 > 0:20:09- I'll go home soon. - Dad is coming to look after Tomos.

0:20:09 > 0:20:14- I can have a birthday party - of sorts with Megan.

0:20:20 > 0:20:23- Toby is going to have - the stone removed.

0:20:24 > 0:20:27- Nurse Angharad tries - to cheer him up.

0:20:27 > 0:20:29- You've got a very important job.

0:20:30 > 0:20:34- I want you to hold these notes - for me, OK?

0:20:41 > 0:20:44- Despite Nurse Angharad's - best efforts...

0:20:44 > 0:20:47- ..the poor boy is still crying.

0:20:47 > 0:20:51- TOBY CRIES

0:20:57 > 0:21:03- INAUDIBLE

0:21:05 > 0:21:10- Toby has gone. Riley has seen - a chance to make money from art.

0:21:15 > 0:21:18- Fifty pence a drawing...

0:21:18 > 0:21:22- ..with the profit - going to a good cause.

0:21:25 > 0:21:28- Tomos's mother leaves - to go to the tea party.

0:21:32 > 0:21:37- Dad has arrived, - after a hard day on the farm.

0:21:44 > 0:21:49- There's a lot to do. - It affects the other children.

0:21:53 > 0:21:55- We manage, somehow.

0:21:55 > 0:21:57- Is there a party in your house?

0:21:57 > 0:22:00- Yes, on Saturday night and today.

0:22:00 > 0:22:02- I'll miss today's.

0:22:02 > 0:22:06- Mari has gone home for that.

0:22:09 > 0:22:11- He's fast asleep.

0:22:12 > 0:22:14- He's tired.

0:22:15 > 0:22:17- He fights so hard for breath.

0:22:17 > 0:22:19- That takes its toll on him.

0:22:21 > 0:22:27- He usually has naps...

0:22:27 > 0:22:29- ..and gets up to play.

0:22:29 > 0:22:32- Another day and its troubles ends.

0:22:33 > 0:22:35- The night nurses have arrived...

0:22:35 > 0:22:39- ..to make sure every child - in the children's ward...

0:22:40 > 0:22:42- ..is warm and safe.

0:22:42 > 0:22:44- Goodnight, children.

0:22:49 > 0:22:51- Caio doesn't miss his appendix.

0:22:51 > 0:22:55- He loves playing - with his brother, Elis Arthur.

0:22:55 > 0:22:59- Maisy's cellulitis cleared. - They're keeping an eye on it.

0:22:59 > 0:23:03- Toby hasn't put anything in - his ears since being in hospital!

0:23:03 > 0:23:06- Tomos's breathing - is strong and clear.

0:23:07 > 0:23:12- Riley is back home and has restarted - treatment in Alder Hey.

0:23:28 > 0:23:30- S4C Subtitles by Gwead

0:23:31 > 0:23:31- .