Pennod 7 Ward Plant

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-This is Ysbyty Gwynedd at daybreak.

-It's a brand new day...

-..in the children's ward.

-How are things this morning?

-Not too bad.

-We're green.

-We can take more children,

-and the children are not too ill.

-How does the change of weather

-affect your work?

-Chest, chest and more chest.

-Babies with bronchiolitis

-need oxygen.

-Older children have wheezy chests

-and need salbutamol inhalers.

-It's well and truly

-the chest season.

-Elizabeth Jones is in cubicle six,

-next to the nurses...

-..with her newborn son, Dylan.

-He couldn't breathe last night.

-He was very ill.

-We were here by 3.00am.

-I didn't sleep until 5.00am.

-I'm very tired!

-He slept much better than me.

-Dylan shouldn't even be here yet.

-He was born on October 8th.

-He wasn't due until December 7th.

-He arrived early.

-I was airlifted to Bangor...

-..then transferred to Glan Clwyd,

-for an emergency c-section.

-He was in

-the Special Care Baby Unit.

-He was transferred

-from Glan Clwyd here.

-We went home last Monday.

-I was glad about that!

-Dylan is first on the list

-to see Dr Wendmu Meskele.

-He's used to treating

-premature babies.

-Hello. How are you?

-Fine, thank you.

-Fine, thank you.

-

-We are the paediatric team.

-I'm Doctor Wendmu. These are

-medical students, future doctors.

-And our special nurse, Sioned.

-I think you know her!

-Alright, alright.

-He had difficulty breathing.

-It's classic bronchiolitis.

-It's not so severe

-that he needs oxygen.

-OK. Thank you.

-His chest is clear.

-The blood system is stable.

-Heart sounds are normal, no murmurs.

-Abdomen is soft.

-No respiratory distress.

-From this examination,

-there is nothing serious here.

-There's a bit

-of mild viral infection.

-Some suffer worse than others.

-Usually,

-the fourth day is the worst.

-It depends how ill they are

-leading up to the fourth day.

-That's the pattern. By the fifth

-day, they start to get better.

-Lowri Haf Roberts

-is a regular visitor.

-Lowri has restarted chemotherapy.

-We're having five days of chemo,

-isn't that so, Wayne?

-There's a three-week break,

-before we restart.

-You've had one lot, haven't you?

-This is the second lot.

-She'll have a scan.

-It's been off and on for years,

-since she was two.

-The Rhabdo was clear.

-Then she became ill again

-and lost a kidney.

-The treatment

-put a strain on her body.

-She had a stem cell last year...

-..just over a year ago.

-There has been a relapse.

-It's on the lung.

-She's had numerous operations

-to remove the cancer.

-Haven't you?

-When we first met Lowri...

-..she wasn't quite two years old.

-That's when she first had cancer.

-She had treatment in Liverpool...

-..then she went to France

-for the operation.

-She had mopping up chemo here.

-She had the all clear.

-Three years ago,

-she complained of a tummy ache.

-They discovered Wilms' tumour

-in her belly.

-She had treatment and chemotherapy

-in Liverpool...

-..and radiotherapy in Clatterbridge.

-Everything was fine for a while.

-She attended clinics.

-Unfortunately, it had come back.

-It's a job to put them on.

-It's a job to put them on.

-

-It's horrible.

-You could tear them.

-Cheap and cheerful.

-You like putting them on, don't you?

-Do you help Dad?

-I open the tablets.

-She sets everything out for me.

-All he has to do

-is get the syringes ready.

-She does it all.

-He'll be out of a job!

-I think I'll use

-that chair as a table.

-Can you bring it over for me?

-Do you want me to move this?

-No, it's OK.

-Or the blue one?

-I want to be lower than Lowri.

-Alright?

-Where is Mam today?

-Where is Mam today?

-

-I don't know.

-Lowri is going to

-Mr Holt's clinic this afternoon.

-She'll have chemo next Monday

-if the blood results are alright.

-I'll do the test and

-phone Liverpool with the result.

-They decide

-if she's well enough for chemo.

-Who painted your nails?

-Mam.

-Mam.

-Open it for me.

-And pull it towards you.

-Alright?

-Clamp. Yeah!

-Is it cold?

-Are you OK?

-I'll send the blood to the path lab.

-They'll process it for me.

-We'll see if Lowri's blood is

-good enough for treatment on Monday.

-You look and feel well.

-You're not pale and

-you don't have a headache.

-Bob's your uncle.

-Hello. Come in.

-Wil Murray came straight

-from school in Felinheli.

-Wil?

-Wil?

-

-Yes.

-What happened in school today?

-Nothing much.

-Nothing much?

-The bleeding started.

-Did you have medicine

-from Mam or school?

-The school.

-We gave the school

-the tranexamic acid.

-You took the medicine.

-Then you had a bigger blood flow.

-Lovely.

-He feels better.

-He couldn't breathe.

-He's just coughed blood.

-He feels better.

-The bleeding

-didn't stop for 20 minutes.

-The school phoned an ambulance.

-He has haemophilia.

-There's a lack of some types

-of blood cells.

-The doctors will see you.

-Maybe we'll need to take blood...

-..because you've been bleeding...

-..to check the haemoglobin levels.

-He was bleeding on Sunday.

-There was so much blood.

-He coughed blood then.

-We gave him

-a tranexamic acid tablet.

-It stopped.

-We didn't think of contacting

-the hospital.

-Haemophilia is when

-the blood doesn't clot.

-Normally, the bleeding stops

-and a scab is formed.

-There are red, white

-and platelet blood cells.

-Platelets make the blood clot.

-The platelets are numbered.

-Haemophiliacs usually

-have less factor eight.

-This prevents

-the blood from clotting.

-Here you are, all yours.

-You only wanted syringes.

-You only wanted syringes.

-

-Yes.

-Give me a shout

-if you need anything.

-Do you have dressings?

-They're included

-in the prescription.

-OK, then.

-You've got the supplies.

-Do you want Dad to carry it?

-Do you want to get your tin?

-It's your lunchbox.

-It's your lunchbox.

-

-Shall we go to the canteen?

-That's it until

-the next appointment.

-Did you have a sandwich?

-A sandwich, cocktail sausages...

-..crisps...

-..yoghurt and my drink.

-Do I get a hug?

-See you before Christmas, I hope.

-Are you coming with us to the panto?

-No, she's going with school.

-OK, then. You'll see Mr Holt now.

-We'll see what he has to say.

-Ta-ra.

-See you later. I'll phone soon.

-OK.

-Ta-ra.

-How do you feel,

-seeing someone like Lowri?

-Oops.

-You get very close to them.

-When they go through a tough time,

-you tend to go through it with them.

-You try to be strong for them...

-..and help them as much as you can.

-Mm.

-This isn't very professional,

-a nurse crying.

-I'm sorry. I don't, usually.

-Gosh, I don't know.

-I'm supposed to retire in two years.

-I might go earlier!

-No, I won't, if I go at all.

-If I ever leave. I don't know.

-Anyway.

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-Back on Dewi Ward, Nurse Sioned

-is organizing the chart.

-"R" means they're having

-a look at them again teatime.

-A happy face means

-they're going home.

-A black spot means there's medicine

-for them in the pharmacy.

-We're waiting for it to be sent up.

-There are many other symbols.

-Red means they can't have food.

-Blue means they're in theatre.

-For the colours used on the board...

-..blue means they're under

-the care of paediatricians here.

-Black means they're under surgeons.

-Green means they're under

-the Ear, Nose and Throat surgeons.

-As well as children,

-Dewi Ward treats Minions too.

-This one has come

-all the way from Ireland.

-Cai comes from Dublin.

-We lived there until last year.

-We've come home to Bethesda.

-Why did you come back?

-We just decided to come back.

-We'd been there for 16 years.

-We decided to make

-a new start for the children.

-What's it like living here?

-What's it like living here?

-

-It's lovely.

-It's nice and peaceful and quiet.

-A lot different from Dublin.

-A lot quieter.

-Cai has fluid on a testicle.

-So he's having a day procedure,

-to stop the fluid going back.

-Have they explained why it happens?

-Sometimes, at birth, a hole

-there doesn't close up properly.

-That's what happened.

-How are you feeling about today?

-How are you feeling about today?

-

-A little bit nervous.

-It's only an hour's surgery.

-So he should be in and out and home

-by teatime, with a bit of luck.

-Home to watch telly tonight.

-ALARM

-Oh, dear! Where there was light,

-there is darkness.

-No-one is sure why.

-BACKGROUND CONVERSATION

-We're all OK!

-Is everyone alright here?

-Yes.

-Have you got a patient with you?

-I'm sure the electricity

-will come back on soon.

-You all OK in here?

-You all OK in here?

-

-Yes, thanks.

-We're not sure what the problem is!

-The electricity will be back soon.

-We don't know what has happened.

-Usually, the generator kicks in

-once there's a power cut.

-I think they're working

-on the generator.

-We checked everyone quickly.

-There's no-one

-on electric machinery.

-We'll have to wait to hear what's

-going on from the powers that be.

-I'm going to see

-if I can find an answer.

-Is the oxygen on?

-Is the oxygen on?

-

-The oxygen?

-Even in the dark, Ysbyty Gwynedd's

-trainee doctors continue to learn.

-We're doing a bit

-of ad hoc teaching.

-Hard to do in the dark!

-You can't read a book!

-Absolutely.

-That's what you're looking for.

-Has this happened before?

-No!

-The generator usually works.

-It hasn't come on today.

-It's exciting for everyone!

-Children, staff, doctors.

-Everyone!

-You!

-BACKGROUND CONVERSATION

-Oh!

-And there was light!

-I put 50p in!

-Light at last!

-We'll hear in a bit what the problem

-was. I think it was the generator.

-There's usually only a few seconds'

-delay before it kicks in.

-At least it's back on

-and we can see everyone!

-The alarm sounds

-in the Special Care Baby Unit.

-But Mali Wyn's mother

-is unperturbed.

-Why don't you respond

-to that sound at all?

-I'm not worried. She was moving.

-I know that's what causes it.

-Most mothers would run a mile!

-Yes!

-I've been here ten weeks.

-It doesn't affect me.

-She had two blood transfusions.

-Oxygen has played

-a big part in Mali's life.

-She has chronic lung disease.

-She has just come off oxygen.

-It's a big, massive step

-for us and her.

-Is that because

-her lungs were premature?

-Yes.

-They were premature

-and hadn't developed.

-But thank goodness, children grow.

-That's a big help.

-That's why she has

-come off oxygen now.

-She hasn't had

-any trouble with feeding.

-She loves her food!

-That's a great help, it's fantastic.

-It enabled her to grow...

-..and develop.

-I've just given her vitamins

-and iron. She has them daily.

-She's stopped

-all the other medications.

-That's all she gets now.

-Slowly!

-Cai, the Minion from the

-Emerald Isle, is back from theatre.

-He's still a bit drowsy.

-At times like this, it's hard

-for parents to know what to do...

-..apart from smile bravely.

-WHISPERS

-It's not nice seeing him like this.

-He'll be alright.

-He's in the best place.

-Did it have to be treated?

-Did it have to be treated?

-

-Yes.

-It's better for him.

-Mali Wyn has a visitor

-from Llanfrothen.

-Mali is moving.

-This is Gwydion, the big brother.

-Mali.

-This is Mali.

-This is Mali.

-

-Mali.

-Your little sister.

-Mali.

-Gently! Good boy.

-Pat.

-Give Mali a pat.

-Do you want to pat Mali?

-When I was in Glan Clwyd,

-I was an hour and a half from home.

-I had to leave Gwydion

-with various members of the family.

-It was hard. I knew he was fine.

-But as his mother,

-I felt I should be with him.

-If Glan Clwyd hadn't been open,

-we'd have had to go to Wrexham.

-That would be two

-more hours from home.

-I'm grateful that Glan Clwyd

-was open. It should remain open.

-What they do is fantastic.

-I don't know what

-I'd have done without them.

-Bangor is just as fantastic.

-We should be very grateful for them.

-I don't think people realize

-how much we need them...

-..until they're in

-the situation themselves.

-Many fathers and mothers

-know about Dewi Ward.

-The doors are open

-day and night for sick children.

-It's a light in the dark,

-bringing hope to parents.

-Dylan is much better

-and still growing.

-Lowri continues with treatment

-at Alder Hey and is responding well.

-Wil had to stop playing rugby.

-He still plays football and runs.

-Cai's surgery went well. The

-doctors want to see him in 6 months.

-Mali has been at home since

-Christmas and is doing well.

-S4C Subtitles by Gwead

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