Pennod 7

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0:00:16 > 0:00:19- This is Ysbyty Gwynedd at daybreak.

0:00:20 > 0:00:23- It's a brand new day...

0:00:23 > 0:00:25- ..in the children's ward.

0:00:27 > 0:00:29- How are things this morning?

0:00:29 > 0:00:31- Not too bad.

0:00:31 > 0:00:32- We're green.

0:00:32 > 0:00:37- We can take more children, - and the children are not too ill.

0:00:37 > 0:00:41- How does the change of weather - affect your work?

0:00:42 > 0:00:45- Chest, chest and more chest.

0:00:45 > 0:00:48- Babies with bronchiolitis - need oxygen.

0:00:48 > 0:00:53- Older children have wheezy chests - and need salbutamol inhalers.

0:00:53 > 0:00:56- It's well and truly - the chest season.

0:01:00 > 0:01:04- Elizabeth Jones is in cubicle six, - next to the nurses...

0:01:04 > 0:01:07- ..with her newborn son, Dylan.

0:01:08 > 0:01:12- He couldn't breathe last night. - He was very ill.

0:01:12 > 0:01:15- We were here by 3.00am.

0:01:17 > 0:01:20- I didn't sleep until 5.00am.

0:01:20 > 0:01:22- I'm very tired!

0:01:22 > 0:01:25- He slept much better than me.

0:01:26 > 0:01:29- Dylan shouldn't even be here yet.

0:01:30 > 0:01:32- He was born on October 8th.

0:01:33 > 0:01:36- He wasn't due until December 7th.

0:01:37 > 0:01:39- He arrived early.

0:01:39 > 0:01:43- I was airlifted to Bangor...

0:01:44 > 0:01:49- ..then transferred to Glan Clwyd, - for an emergency c-section.

0:01:49 > 0:01:52- He was in - the Special Care Baby Unit.

0:01:52 > 0:01:57- He was transferred - from Glan Clwyd here.

0:01:57 > 0:01:59- We went home last Monday.

0:01:59 > 0:02:01- I was glad about that!

0:02:05 > 0:02:09- Dylan is first on the list - to see Dr Wendmu Meskele.

0:02:09 > 0:02:12- He's used to treating - premature babies.

0:02:13 > 0:02:15- Hello. How are you?

0:02:16 > 0:02:17- Fine, thank you.

0:02:17 > 0:02:19- Fine, thank you.- - We are the paediatric team.

0:02:19 > 0:02:23- I'm Doctor Wendmu. These are - medical students, future doctors.

0:02:24 > 0:02:27- And our special nurse, Sioned. - I think you know her!

0:02:37 > 0:02:38- Alright, alright.

0:02:41 > 0:02:44- He had difficulty breathing.

0:02:44 > 0:02:46- It's classic bronchiolitis.

0:02:47 > 0:02:51- It's not so severe - that he needs oxygen.

0:02:53 > 0:02:55- OK. Thank you.

0:02:56 > 0:02:58- His chest is clear.

0:02:59 > 0:03:02- The blood system is stable.

0:03:03 > 0:03:05- Heart sounds are normal, no murmurs.

0:03:06 > 0:03:07- Abdomen is soft.

0:03:09 > 0:03:11- No respiratory distress.

0:03:13 > 0:03:18- From this examination, - there is nothing serious here.

0:03:18 > 0:03:21- There's a bit - of mild viral infection.

0:03:22 > 0:03:26- Some suffer worse than others.

0:03:26 > 0:03:31- Usually, - the fourth day is the worst.

0:03:32 > 0:03:36- It depends how ill they are - leading up to the fourth day.

0:03:37 > 0:03:41- That's the pattern. By the fifth - day, they start to get better.

0:03:53 > 0:03:57- Lowri Haf Roberts - is a regular visitor.

0:04:00 > 0:04:03- Lowri has restarted chemotherapy.

0:04:04 > 0:04:08- We're having five days of chemo, - isn't that so, Wayne?

0:04:08 > 0:04:12- There's a three-week break, - before we restart.

0:04:13 > 0:04:16- You've had one lot, haven't you?

0:04:17 > 0:04:21- This is the second lot. - She'll have a scan.

0:04:21 > 0:04:25- It's been off and on for years, - since she was two.

0:04:25 > 0:04:29- The Rhabdo was clear.

0:04:29 > 0:04:33- Then she became ill again - and lost a kidney.

0:04:33 > 0:04:36- The treatment - put a strain on her body.

0:04:37 > 0:04:40- She had a stem cell last year...

0:04:41 > 0:04:43- ..just over a year ago.

0:04:43 > 0:04:45- There has been a relapse.

0:04:45 > 0:04:47- It's on the lung.

0:04:48 > 0:04:52- She's had numerous operations - to remove the cancer.

0:04:52 > 0:04:54- Haven't you?

0:04:56 > 0:04:59- When we first met Lowri...

0:05:00 > 0:05:03- ..she wasn't quite two years old.

0:05:04 > 0:05:06- That's when she first had cancer.

0:05:07 > 0:05:10- She had treatment in Liverpool...

0:05:10 > 0:05:14- ..then she went to France - for the operation.

0:05:15 > 0:05:19- She had mopping up chemo here.

0:05:19 > 0:05:21- She had the all clear.

0:05:22 > 0:05:26- Three years ago, - she complained of a tummy ache.

0:05:26 > 0:05:32- They discovered Wilms' tumour - in her belly.

0:05:33 > 0:05:38- She had treatment and chemotherapy - in Liverpool...

0:05:38 > 0:05:41- ..and radiotherapy in Clatterbridge.

0:05:41 > 0:05:44- Everything was fine for a while.

0:05:44 > 0:05:48- She attended clinics. - Unfortunately, it had come back.

0:05:49 > 0:05:51- It's a job to put them on.

0:05:51 > 0:05:52- It's a job to put them on.- - It's horrible.

0:05:52 > 0:05:54- You could tear them.

0:05:54 > 0:05:56- Cheap and cheerful.

0:05:59 > 0:06:02- You like putting them on, don't you?

0:06:03 > 0:06:05- Do you help Dad?

0:06:06 > 0:06:09- I open the tablets.

0:06:10 > 0:06:12- She sets everything out for me.

0:06:13 > 0:06:18- All he has to do - is get the syringes ready.

0:06:18 > 0:06:20- She does it all.

0:06:21 > 0:06:23- He'll be out of a job!

0:06:24 > 0:06:28- I think I'll use - that chair as a table.

0:06:29 > 0:06:31- Can you bring it over for me?

0:06:31 > 0:06:35- Do you want me to move this?

0:06:35 > 0:06:38- No, it's OK.

0:06:38 > 0:06:39- Or the blue one?

0:06:40 > 0:06:42- I want to be lower than Lowri.

0:06:47 > 0:06:49- Alright?

0:06:50 > 0:06:52- Where is Mam today?

0:06:52 > 0:06:54- Where is Mam today?- - I don't know.

0:06:57 > 0:07:01- Lowri is going to - Mr Holt's clinic this afternoon.

0:07:01 > 0:07:05- She'll have chemo next Monday - if the blood results are alright.

0:07:05 > 0:07:09- I'll do the test and - phone Liverpool with the result.

0:07:09 > 0:07:13- They decide - if she's well enough for chemo.

0:07:14 > 0:07:18- Who painted your nails?

0:07:19 > 0:07:20- Mam.

0:07:20 > 0:07:21- Mam.

0:07:23 > 0:07:25- Open it for me.

0:07:25 > 0:07:29- And pull it towards you.

0:07:31 > 0:07:32- Alright?

0:07:37 > 0:07:39- Clamp. Yeah!

0:07:40 > 0:07:42- Is it cold?

0:07:43 > 0:07:46- Are you OK?

0:07:46 > 0:07:49- I'll send the blood to the path lab.

0:07:50 > 0:07:52- They'll process it for me.

0:07:53 > 0:07:58- We'll see if Lowri's blood is - good enough for treatment on Monday.

0:07:58 > 0:08:00- You look and feel well.

0:08:00 > 0:08:04- You're not pale and - you don't have a headache.

0:08:04 > 0:08:07- Bob's your uncle.

0:08:11 > 0:08:14- Hello. Come in.

0:08:17 > 0:08:21- Wil Murray came straight - from school in Felinheli.

0:08:26 > 0:08:27- Wil?

0:08:27 > 0:08:28- Wil?- - Yes.

0:08:28 > 0:08:31- What happened in school today?

0:08:35 > 0:08:37- Nothing much.

0:08:37 > 0:08:38- Nothing much?

0:08:39 > 0:08:42- The bleeding started.

0:08:43 > 0:08:46- Did you have medicine - from Mam or school?

0:08:46 > 0:08:47- The school.

0:08:48 > 0:08:52- We gave the school - the tranexamic acid.

0:08:53 > 0:08:55- You took the medicine.

0:08:56 > 0:08:59- Then you had a bigger blood flow.

0:09:01 > 0:09:03- Lovely.

0:09:05 > 0:09:08- He feels better. - He couldn't breathe.

0:09:08 > 0:09:11- He's just coughed blood.

0:09:11 > 0:09:13- He feels better.

0:09:14 > 0:09:18- The bleeding - didn't stop for 20 minutes.

0:09:18 > 0:09:21- The school phoned an ambulance.

0:09:22 > 0:09:24- He has haemophilia.

0:09:24 > 0:09:28- There's a lack of some types - of blood cells.

0:09:29 > 0:09:31- The doctors will see you.

0:09:32 > 0:09:36- Maybe we'll need to take blood...

0:09:36 > 0:09:39- ..because you've been bleeding...

0:09:39 > 0:09:42- ..to check the haemoglobin levels.

0:09:42 > 0:09:45- He was bleeding on Sunday.

0:09:47 > 0:09:49- There was so much blood.

0:09:49 > 0:09:52- He coughed blood then.

0:09:53 > 0:09:57- We gave him - a tranexamic acid tablet.

0:09:58 > 0:10:00- It stopped.

0:10:00 > 0:10:04- We didn't think of contacting - the hospital.

0:10:10 > 0:10:13- Haemophilia is when - the blood doesn't clot.

0:10:13 > 0:10:19- Normally, the bleeding stops - and a scab is formed.

0:10:20 > 0:10:26- There are red, white - and platelet blood cells.

0:10:26 > 0:10:29- Platelets make the blood clot.

0:10:30 > 0:10:33- The platelets are numbered.

0:10:33 > 0:10:38- Haemophiliacs usually - have less factor eight.

0:10:38 > 0:10:42- This prevents - the blood from clotting.

0:10:45 > 0:10:48- Here you are, all yours.

0:10:48 > 0:10:49- You only wanted syringes.

0:10:49 > 0:10:51- You only wanted syringes.- - Yes.

0:10:51 > 0:10:55- Give me a shout - if you need anything.

0:10:55 > 0:10:57- Do you have dressings?

0:10:57 > 0:11:01- They're included - in the prescription.

0:11:03 > 0:11:04- OK, then.

0:11:05 > 0:11:07- You've got the supplies.

0:11:08 > 0:11:10- Do you want Dad to carry it?

0:11:11 > 0:11:14- Do you want to get your tin?

0:11:14 > 0:11:15- It's your lunchbox.

0:11:15 > 0:11:18- It's your lunchbox.- - Shall we go to the canteen?

0:11:18 > 0:11:22- That's it until - the next appointment.

0:11:25 > 0:11:27- Did you have a sandwich?

0:11:28 > 0:11:31- A sandwich, cocktail sausages...

0:11:32 > 0:11:34- ..crisps...

0:11:34 > 0:11:37- ..yoghurt and my drink.

0:11:39 > 0:11:41- Do I get a hug?

0:11:43 > 0:11:45- See you before Christmas, I hope.

0:11:45 > 0:11:48- Are you coming with us to the panto?

0:11:48 > 0:11:51- No, she's going with school.

0:11:53 > 0:11:55- OK, then. You'll see Mr Holt now.

0:11:56 > 0:11:58- We'll see what he has to say.

0:11:59 > 0:12:00- Ta-ra.

0:12:00 > 0:12:03- See you later. I'll phone soon.

0:12:03 > 0:12:05- OK.

0:12:05 > 0:12:06- Ta-ra.

0:12:08 > 0:12:11- How do you feel, - seeing someone like Lowri?

0:12:12 > 0:12:14- Oops.

0:12:16 > 0:12:18- You get very close to them.

0:12:19 > 0:12:24- When they go through a tough time, - you tend to go through it with them.

0:12:25 > 0:12:28- You try to be strong for them...

0:12:29 > 0:12:31- ..and help them as much as you can.

0:12:32 > 0:12:33- Mm.

0:12:35 > 0:12:38- This isn't very professional, - a nurse crying.

0:12:38 > 0:12:40- I'm sorry. I don't, usually.

0:12:44 > 0:12:45- Gosh, I don't know.

0:12:45 > 0:12:48- I'm supposed to retire in two years.

0:12:48 > 0:12:49- I might go earlier!

0:12:50 > 0:12:52- No, I won't, if I go at all.

0:12:52 > 0:12:54- If I ever leave. I don't know.

0:12:55 > 0:12:56- Anyway.

0:12:56 > 0:12:56- .

0:13:08 > 0:13:08- Subtitles

0:13:08 > 0:13:10- Subtitles- - Subtitles

0:13:17 > 0:13:21- Back on Dewi Ward, Nurse Sioned - is organizing the chart.

0:13:21 > 0:13:25- "R" means they're having - a look at them again teatime.

0:13:25 > 0:13:28- A happy face means - they're going home.

0:13:28 > 0:13:33- A black spot means there's medicine - for them in the pharmacy.

0:13:33 > 0:13:35- We're waiting for it to be sent up.

0:13:36 > 0:13:38- There are many other symbols.

0:13:38 > 0:13:40- Red means they can't have food.

0:13:40 > 0:13:43- Blue means they're in theatre.

0:13:44 > 0:13:46- For the colours used on the board...

0:13:46 > 0:13:51- ..blue means they're under - the care of paediatricians here.

0:13:51 > 0:13:54- Black means they're under surgeons.

0:13:54 > 0:13:59- Green means they're under - the Ear, Nose and Throat surgeons.

0:14:03 > 0:14:08- As well as children, - Dewi Ward treats Minions too.

0:14:08 > 0:14:11- This one has come - all the way from Ireland.

0:14:11 > 0:14:15- Cai comes from Dublin. - We lived there until last year.

0:14:16 > 0:14:18- We've come home to Bethesda.

0:14:19 > 0:14:20- Why did you come back?

0:14:21 > 0:14:23- We just decided to come back.

0:14:23 > 0:14:25- We'd been there for 16 years.

0:14:26 > 0:14:30- We decided to make - a new start for the children.

0:14:31 > 0:14:32- What's it like living here?

0:14:32 > 0:14:33- What's it like living here?- - It's lovely.

0:14:33 > 0:14:36- It's nice and peaceful and quiet.

0:14:36 > 0:14:40- A lot different from Dublin. - A lot quieter.

0:14:41 > 0:14:43- Cai has fluid on a testicle.

0:14:44 > 0:14:49- So he's having a day procedure, - to stop the fluid going back.

0:14:49 > 0:14:52- Have they explained why it happens?

0:14:52 > 0:14:57- Sometimes, at birth, a hole - there doesn't close up properly.

0:14:58 > 0:15:00- That's what happened.

0:15:00 > 0:15:02- How are you feeling about today?

0:15:02 > 0:15:03- How are you feeling about today?- - A little bit nervous.

0:15:03 > 0:15:05- It's only an hour's surgery.

0:15:05 > 0:15:10- So he should be in and out and home - by teatime, with a bit of luck.

0:15:11 > 0:15:13- Home to watch telly tonight.

0:15:16 > 0:15:18- ALARM

0:15:19 > 0:15:23- Oh, dear! Where there was light, - there is darkness.

0:15:23 > 0:15:24- No-one is sure why.

0:15:27 > 0:15:29- BACKGROUND CONVERSATION

0:15:29 > 0:15:30- We're all OK!

0:15:36 > 0:15:38- Is everyone alright here?

0:15:38 > 0:15:39- Yes.

0:15:39 > 0:15:41- Have you got a patient with you?

0:15:41 > 0:15:45- I'm sure the electricity - will come back on soon.

0:15:45 > 0:15:46- You all OK in here?

0:15:46 > 0:15:47- You all OK in here?- - Yes, thanks.

0:15:47 > 0:15:52- We're not sure what the problem is! - The electricity will be back soon.

0:15:52 > 0:15:54- We don't know what has happened.

0:15:55 > 0:15:59- Usually, the generator kicks in - once there's a power cut.

0:15:59 > 0:16:02- I think they're working - on the generator.

0:16:02 > 0:16:04- We checked everyone quickly.

0:16:04 > 0:16:08- There's no-one - on electric machinery.

0:16:08 > 0:16:13- We'll have to wait to hear what's - going on from the powers that be.

0:16:13 > 0:16:16- I'm going to see - if I can find an answer.

0:16:19 > 0:16:20- Is the oxygen on?

0:16:20 > 0:16:21- Is the oxygen on?- - The oxygen?

0:16:22 > 0:16:28- Even in the dark, Ysbyty Gwynedd's - trainee doctors continue to learn.

0:16:28 > 0:16:31- We're doing a bit - of ad hoc teaching.

0:16:31 > 0:16:34- Hard to do in the dark! - You can't read a book!

0:16:34 > 0:16:35- Absolutely.

0:16:36 > 0:16:38- That's what you're looking for.

0:16:38 > 0:16:40- Has this happened before?

0:16:40 > 0:16:41- No!

0:16:42 > 0:16:44- The generator usually works.

0:16:44 > 0:16:46- It hasn't come on today.

0:16:47 > 0:16:50- It's exciting for everyone!

0:16:50 > 0:16:52- Children, staff, doctors.

0:16:52 > 0:16:54- Everyone!

0:16:54 > 0:16:55- You!

0:16:56 > 0:16:58- BACKGROUND CONVERSATION

0:17:00 > 0:17:01- Oh!

0:17:01 > 0:17:03- And there was light!

0:17:03 > 0:17:05- I put 50p in!

0:17:06 > 0:17:07- Light at last!

0:17:07 > 0:17:12- We'll hear in a bit what the problem - was. I think it was the generator.

0:17:12 > 0:17:17- There's usually only a few seconds' - delay before it kicks in.

0:17:17 > 0:17:21- At least it's back on - and we can see everyone!

0:17:22 > 0:17:27- The alarm sounds - in the Special Care Baby Unit.

0:17:27 > 0:17:30- But Mali Wyn's mother - is unperturbed.

0:17:31 > 0:17:34- Why don't you respond - to that sound at all?

0:17:35 > 0:17:37- I'm not worried. She was moving.

0:17:37 > 0:17:40- I know that's what causes it.

0:17:40 > 0:17:43- Most mothers would run a mile!

0:17:43 > 0:17:44- Yes!

0:17:44 > 0:17:46- I've been here ten weeks.

0:17:46 > 0:17:48- It doesn't affect me.

0:17:51 > 0:17:53- She had two blood transfusions.

0:17:54 > 0:17:58- Oxygen has played - a big part in Mali's life.

0:17:58 > 0:18:01- She has chronic lung disease.

0:18:04 > 0:18:06- She has just come off oxygen.

0:18:06 > 0:18:10- It's a big, massive step - for us and her.

0:18:13 > 0:18:16- Is that because - her lungs were premature?

0:18:17 > 0:18:18- Yes.

0:18:18 > 0:18:22- They were premature - and hadn't developed.

0:18:22 > 0:18:25- But thank goodness, children grow.

0:18:26 > 0:18:28- That's a big help.

0:18:29 > 0:18:33- That's why she has - come off oxygen now.

0:18:35 > 0:18:38- She hasn't had - any trouble with feeding.

0:18:38 > 0:18:40- She loves her food!

0:18:42 > 0:18:45- That's a great help, it's fantastic.

0:18:46 > 0:18:48- It enabled her to grow...

0:18:49 > 0:18:50- ..and develop.

0:19:07 > 0:19:12- I've just given her vitamins - and iron. She has them daily.

0:19:12 > 0:19:16- She's stopped - all the other medications.

0:19:17 > 0:19:19- That's all she gets now.

0:19:24 > 0:19:25- Slowly!

0:19:31 > 0:19:35- Cai, the Minion from the - Emerald Isle, is back from theatre.

0:19:36 > 0:19:38- He's still a bit drowsy.

0:19:43 > 0:19:48- At times like this, it's hard - for parents to know what to do...

0:19:48 > 0:19:50- ..apart from smile bravely.

0:20:05 > 0:20:07- WHISPERS

0:20:12 > 0:20:14- It's not nice seeing him like this.

0:20:14 > 0:20:17- He'll be alright. - He's in the best place.

0:20:17 > 0:20:19- Did it have to be treated?

0:20:19 > 0:20:20- Did it have to be treated?- - Yes.

0:20:20 > 0:20:21- It's better for him.

0:20:27 > 0:20:30- Mali Wyn has a visitor - from Llanfrothen.

0:20:32 > 0:20:33- Mali is moving.

0:20:34 > 0:20:37- This is Gwydion, the big brother.

0:20:38 > 0:20:39- Mali.

0:20:39 > 0:20:40- This is Mali.

0:20:40 > 0:20:41- This is Mali.- - Mali.

0:20:42 > 0:20:44- Your little sister.

0:20:45 > 0:20:46- Mali.

0:20:46 > 0:20:47- Gently! Good boy.

0:20:48 > 0:20:50- Pat.

0:20:50 > 0:20:51- Give Mali a pat.

0:20:52 > 0:20:54- Do you want to pat Mali?

0:20:59 > 0:21:04- When I was in Glan Clwyd, - I was an hour and a half from home.

0:21:04 > 0:21:09- I had to leave Gwydion - with various members of the family.

0:21:10 > 0:21:13- It was hard. I knew he was fine.

0:21:14 > 0:21:18- But as his mother, - I felt I should be with him.

0:21:19 > 0:21:24- If Glan Clwyd hadn't been open, - we'd have had to go to Wrexham.

0:21:25 > 0:21:28- That would be two - more hours from home.

0:21:29 > 0:21:33- I'm grateful that Glan Clwyd - was open. It should remain open.

0:21:34 > 0:21:36- What they do is fantastic.

0:21:37 > 0:21:41- I don't know what - I'd have done without them.

0:21:42 > 0:21:44- Bangor is just as fantastic.

0:21:45 > 0:21:48- We should be very grateful for them.

0:21:49 > 0:21:53- I don't think people realize - how much we need them...

0:21:54 > 0:21:57- ..until they're in - the situation themselves.

0:21:57 > 0:22:02- Many fathers and mothers - know about Dewi Ward.

0:22:02 > 0:22:07- The doors are open - day and night for sick children.

0:22:07 > 0:22:11- It's a light in the dark, - bringing hope to parents.

0:22:11 > 0:22:15- Dylan is much better - and still growing.

0:22:16 > 0:22:21- Lowri continues with treatment - at Alder Hey and is responding well.

0:22:21 > 0:22:26- Wil had to stop playing rugby. - He still plays football and runs.

0:22:26 > 0:22:30- Cai's surgery went well. The - doctors want to see him in 6 months.

0:22:31 > 0:22:34- Mali has been at home since - Christmas and is doing well.

0:22:51 > 0:22:53- S4C Subtitles by Gwead

0:22:53 > 0:22:53- .