Pennod 6 Ward Plant

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-Today, our story begins

-with a familiar face.

-This is Sioned Griffith-Jones

-and her son Jac.

-We're used to seeing

-Sioned in a blue uniform.

-She's a Dewi Ward nurse.

-But sometimes,

-even nurses' children are ill.

-This morning,

-Jac is having an X-ray.

-There we are.

-We had to bring Jac to the hospital

-last night at about 11.30pm.

-He had trouble breathing.

-You were short of breath,

-weren't you?

-We saw the emergency doctor,

-who sent him here.

-He had oxygen overnight.

-He was a bit worse

-between 5.00am and 6.00am.

-So they want him

-to have a chest X-ray...

-..to check if anything

-needs treatment.

-Is it handy that Mam's a nurse?

-Yes.

-Does she look after you well?

-Does she look after you well?

-

-Yes.

-Is she a bit bossy sometimes?

-Am I bossy?

-I'm going to take you through, Jac.

-What happened behind the doors?

-Jac will tell us.

-I had to put here...

-Your chin.

-..on top of a metal thing.

-I had to put my hands

-on the corners of the metal thing.

-I had to stand still.

-The metal thing moved down.

-Yes, it moved up and down.

-Did you have to breathe in?

-Did you have to breathe in?

-

-Yes.

-Like this?

-It didn't hurt.

-It didn't hurt.

-

-No.

-No, it doesn't hurt.

-MACHINE BLEEPS

-MACHINE BLEEPS

-

-It's like taking a photo.

-They're going to check

-if there's an infection.

-If there is, they'll probably

-start him on antibiotics.

-If not, they'll carry on

-with the nebulisers.

-We'll see if he gets better.

-MACHINE BLEEPS

-That's a monitor.

-If I do anything wrong.

-No, it's not that!

-It measures the amount

-of oxygen going round his body.

-BLEEPS

-And my heart.

-Yes, and your heart, at the bottom.

-It makes a noise, because

-we like them to be over 92.

-As you see, it isn't.

-He's on quite a lot of oxygen.

-That's why they want the X-ray...

-..to check why he needs

-so much oxygen...

-..and why the oxygen

-level isn't rising.

-Hello.

-OK. Come in.

-Here's another girl who worried

-her parents during the night.

-Teyona tends to hold

-her breath in her sleep.

-She's going to have her tonsils

-removed, to see if it helps.

-She had tonsillitis

-for six months solid.

-She couldn't get rid of it.

-The antibiotics finally worked.

-But all the time

-she had tonsillitis...

-..she couldn't breathe properly

-and snored loudly all night.

-It gave her earache.

-The most worrying thing was that

-she held her breath when she slept.

-We still have a monitor

-in her bedroom.

-I could hear the clicks stopping.

-She was holding her breath.

-When she snored, she drew

-her breath in, then held it.

-You worry anyway,

-when children go to bed.

-You hear stories.

-But there was a lot of noise.

-It grew and grew, then stopped.

-Then we knew

-she was holding her breath.

-Gwenllian Jones from Amlwch

-would like to have surgery.

-She has trouble sleeping too.

-Dr Mair explains what's wrong.

-It's quite complex. She was supposed

-to have her adenoids removed.

-But the anaesthetist wasn't happy

-about anaesthetizing her...

-..because she coughed

-a lot at night.

-That's often why

-adenoids are removed.

-It's hard to know

-what to sort out first.

-The anaesthetists are used

-to removing children's adenoids.

-They know when

-something isn't right.

-She has asthma. Children with

-asthma often have adenoid problems.

-She also has rhinitis, a runny

-nose that often gets blocked up.

-We've tried to deal

-with the asthma and rhinitis.

-That's why she's on

-so much medication.

-She also coughs at night

-and has heartburn.

-That can happen with asthma or a

-long-term cough that isn't sorted.

-She is also being treated for that.

-With Gwenllian, if we sorted

-the nose, asthma and heartburn...

-..it's possible she wouldn't

-need to have the adenoids removed.

-It's hard to say.

-We're not quite there.

-She must be healthy enough for us

-to remove the adenoids safely.

-If she doesn't need it when

-that time comes, we won't complain.

-How has the cough been?

-At the moment,

-I have a cold, so it's worse.

-Have these made a difference?

-Have these made a difference?

-

-It has dried it up more.

-She's coughing less.

-If the cough is better,

-we're almost there.

-You think the cough is here,

-not on her chest at night.

-We won't change the pumps

-and asthma stuff.

-Carry on with the antihistamine.

-If this suits you better,

-I don't mind which one you take.

-But go back to the nasal spray.

-For now, we'll carry on with this.

-But I hope we can take you off this,

-if we sort out the nose.

-You need this because you've been

-coughing for a long time.

-If we stop the cough, you won't

-need it. Does that make sense?

-There's a muscle down here.

-Children who cough

-a lot have more heartburn.

-If we stop the cough,

-the indigestion will settle in time.

-It won't sort it out,

-it'll just dampen it down.

-I'll see you again soon.

-In April or May...

-..you'll be less nasal in the better

-weather and have fewer colds.

-There might be a window when

-they can give you the anaesthetic...

-..to sort out the adenoids.

-Teyona's window has arrived.

-Off she goes with her dolly

-to have her tonsils removed.

-Oh, shush!

-Back on Dewi Ward,

-it's breakfast time.

-MACHINE BLEEPS

-He's eating breakfast, slowly.

-He's still low on oxygen, so he has

-to alternate between spoon and mask.

-He's had one or two nebulisers.

-We're waiting

-for the doctors to see him.

-He isn't asthmatic.

-He does the same things from day

-to day like other children...

-..without any problems

-with his lungs.

-All four of us

-were ill this weekend.

-It seems to affect Jac

-more than Elis, his brother.

-That's the pattern when he has

-a cold. He's ill like this.

-BACKGROUND CONVERSATION

-We have to put this on.

-Does he have a temperature?

-You can have more symptoms,

-but less signs.

-For example,

-he hasn't had a temperature.

-People say there's not much signs

-either, some occasional wheeze...

-..but he requires

-very high volume oxygen.

-If you see the X-rays,

-there are X-ray changes.

-So more symptoms, less signs.

-You need to think

-of atypical chest infection...

-..primarily caused by two bugs

-in this country mostly.

-One is mycoplasma pneunmoniae.

-Another one is called legionella.

-They're all kind of hiding in...

-Water?

-Not water actually.

-In old houses with damp weather,

-they just lie there.

-That is a bit tricky.

-So you will end up being

-on oxygen for a long time.

-After seeing the X-ray...

-..Jac's treatment

-has to be changed at once.

-MACHINE BLEEPS

-I feel it's more

-of a chest infection.

-OK.

-Of course, you can have

-associated bronchospasm with it.

-But we primarily treat

-the chest infection.

-The difficulty with this episode...

-..he doesn't have

-the typical symptoms...

-..when you have a chest infection...

-..like temperatures and all that.

-But that's what will happen...

-..in situations like

-atypical chest infections.

-He will be symptomatic.

-Basically he's breathless.

-But his chest is clear.

-There's nothing there on the chest.

-I don't know if it's the nebuliser.

-Having said that, it was given

-an hour ago, two hours ago.

-He should still have symptoms.

-He should still have symptoms.

-

-It's the same in the night.

-But he's still working hard

-with his breathing.

-His respiratory rate

-is still about 50, 55.

-I think we'll go ahead

-with two things together.

-JAC COUGHS

-I would like to commence him

-on the macrolide erythromycin.

-I could go for amoxicillin.

-But I think it doesn't

-cover the atypical bit.

-Let us do the blood test

-as well. OK?

-He's giving varying signals.

-He's really well.

-He's been really well at home.

-All the way here,

-he was singing in the car.

-That's the whole thing here.

-He's not all that ill looking.

-But there are signs,

-which make me wonder.

-He needs a bit more than

-just a bronchial electroscope.

-OK, we'll take it from there.

-OK, we'll take it from there.

-

-Thank you.

-Say thanks.

-Say thanks.

-

-Thank you.

-The first step is giving

-antibiotics by a drip.

-TEARFUL

-You'll have magic cream there.

-MACHINE BLEEPS

-After a sleepless night,

-everyone is emotional.

-Alright?

-It's a small needle, but you'll

-get magic cream from Auntie Mel.

-Listen.

-Auntie Mel will put some

-magic cream on and it won't hurt.

-JAC CRIES AND COUGHS

-Alright?

-We'll put cream on your hand.

-We'll put cream on your hand.

-

-I don't want it.

-I know you don't want it.

-Mam doesn't want you

-to have it either.

-But you have to. The doctor says so.

-JAC COUGHS

-So you must have it.

-Don't cry, baby.

-Don't cry.

-Don't worry.

-It makes you cough more.

-The magic cream works well.

-Mam gives it to children every day.

-OK?

-They're going to change

-the way you have oxygen too.

-Do you want a tissue?

-We'll have a tissue each!

-Oops!

-Don't work yourself up.

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-In the children's clinic,

-a boy from Llannerch-y-medd...

-..is seeing a specialist

-from Alder Hey.

-HUMS

-Say hello.

-Say hello.

-

-Hello.

-We've come to the clinic

-in Ysbyty Gwynedd...

-..with Dylan Sion.

-HUMS

-Dylan has a condition, autism.

-Dylan stopped eating

-and drinking three years ago.

-He didn't eat or drink anything

-for a year and a half.

-His weight went down and down.

-We tried everything with him.

-He became very ill.

-It was in June.

-He was rushed here.

-They said all his organs

-nearly shut down.

-They were able to put

-a tube down his nose.

-We fed him for about three years.

-He had a PEG in his stomach

-in Alder Hey.

-That was how he was fed.

-But this summer, he began to eat.

-He has put a lot of weight on.

-He doesn't stop eating!

-It's from one thing to another.

-SINGS

-He likes to sing.

-No need to be noisy!

-SINGS

-Right, Dyl, we'll weigh you now.

-Right, Dyl, we'll weigh you now.

-

-Hello.

-How are you?

-How are you?

-

-Fine, thanks. You?

-Are we going to weigh you now?

-Are we going to weigh you now?

-

-Dylan.

-Come with me.

-Good boy.

-Let's get you weighed.

-We'll all go there.

-Stand there.

-SINGS

-You're always a good boy.

-That's it.

-Walk forward.

-Right.

-It is a great strain.

-But I've had help.

-Sarah is with me today.

-She works for the Child

-Development Team.

-They have places where Dylan can go.

-On Sundays, he goes there

-for five hours.

-I have respite care too,

-three nights a month.

-That helps.

-Everyone has been

-very supportive, I must say.

-But it's quite a strain

-on the whole family.

-But I cope!

-Back in Dewi Ward...

-..who would have thought

-Jac Griffith-Jones has pneumonia?

-Because he's had three

-admissions before this...

-..and two were definitely

-significant pneumonia...

-..the doctor thinks it's important

-we test his blood today...

-..to check that his body's

-immune response is fine.

-Jac might have a problem

-with fighting infections.

-We'll put EMLA on his hand.

-We'll take a sample

-and it'll go to the lab.

-We'll get the results, maybe

-not today, but in a few days.

-We want to check because they

-think he has atypical pneumonia.

-He has no temperature, he's fine

-in himself and wants to play.

-You'd expect him to have

-a temperature and feel poorly.

-So we're giving him a blood test.

-Sitting all day is a very unfamiliar

-experience for Nurse Sioned.

-It's difficult not to interfere

-and let other people do things.

-But this is our fourth

-or fifth time here.

-I'm used to it now!

-I'm used to it now!

-

-It's the eighth time. I'm counting.

-I don't think

-we've been here eight times.

-I think so.

-In the meantime, another boy

-has arrived in Dewi Ward.

-Let's see who he is

-while he waits for the doctor.

-What is your name?

-What is your name?

-

-Osian.

-Osian what?

-Osian what?

-

-Evans.

-Why have you come to hospital?

-I need to have a blood test.

-Do you know why?

-No.

-Shall I ask Mam?

-Shall I ask Mam?

-

-Yes.

-Do you think Mam will know?

-Do you think Mam will know?

-

-Yes.

-Maybe.

-Why has Osian come in?

-To have blood tests to see

-why Osian isn't growing...

-..to the level he should at his age.

-Are there any ideas why?

-No. We've been to the clinic.

-These are the first inquiries

-to see what is going on.

-Is Osian a brave boy?

-Is Osian a brave boy?

-

-Terribly brave!

-Very brave.

-Are you a brave boy?

-Yes.

-How brave, from one to ten?

-How brave, from one to ten?

-

-Ten.

-LAUGHTER

-Can we have a look at your vein?

-Will you sit on the bed?

-That's it.

-Good boy.

-Did you have the cream or are you

-going to be brave and have a spray?

-Cold spray, I think.

-He had the spray last time.

-He had the spray last time.

-

-Well done.

-Keep doing that, it will make

-the vein come up more.

-We put the cold spray now.

-You play football, don't you?

-You play football, don't you?

-

-Yes.

-Are you good?

-Are you good?

-

-Yes.

-It's done.

-You didn't feel it, did you?

-A little.

-There you are.

-We'll give some medicine

-in 15 minutes' time.

-After that, we'll be taking

-blood every 30 minutes.

-I'll see you in 30 minutes. OK?

-I'll see you in 30 minutes. OK?

-

-OK.

-Thank you.

-I'll take you to your bed now.

-I want to go to the playroom.

-Five minutes, then.

-Teyona is going home,

-after having her tonsils removed.

-But does she want to go home?

-Back to her old self.

-Where is she supposed to be?

-We're supposed to be going home.

-But she wants to stay!

-She likes it here, bless her.

-Hiya. You OK?

-Hiya. You OK?

-

-Yes.

-It's time for Osian to go home too,

-after one more blood test.

-That's it. I'll get you some food.

-It's night once more in Dewi Ward.

-The corridors are quiet.

-Some children went home.

-But others are still here.

-BABY CRIES IN BACKGROUND

-Sleep, Jac.

-The Sandman is coming.

-And Mam is nearby,

-to hold your hand.

-Give Mam a kiss!

-Jac had to return to Dewi Ward.

-Nurse Sioned is praying

-for better weather!

-Teyona is well and hasn't had

-a sore throat since the surgery.

-Dylan is eating well

-and is still singing.

-Osian is going to Alder Hey

-for more tests.

-Gwenllian is waiting for surgery

-to help heal her cough.

-S4C Subtitles by Gwead

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