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0:00:13 > 0:00:16- The sun rises slowly over Snowdonia.
0:00:16 > 0:00:21- It throws some of its fire - on Dewi Ward's window.
0:00:24 > 0:00:25- It's very full.
0:00:25 > 0:00:30- We're trying to sort out the board - and allocate patients to nurses.
0:00:30 > 0:00:31- There are no beds.
0:00:32 > 0:00:34- BACKGROUND CONVERSATION
0:00:38 > 0:00:42- They have to go to the - A&E Department to be assessed.
0:00:43 > 0:00:47- They might be moved - to Glan Clwyd or Wrexham...
0:00:47 > 0:00:49- ..depending where there are beds.
0:00:55 > 0:01:00- Alaw Saynor from Llanberis - has a bed in Dewi Ward
0:01:01 > 0:01:06- I came in last night with terrible - pains low on my right side.
0:01:08 > 0:01:10- It was horrible, wasn't it?
0:01:10 > 0:01:12- Very painful.
0:01:15 > 0:01:16- Not nice.
0:01:17 > 0:01:22- We had an appointment quite quickly - to see the nurse practitioner.
0:01:22 > 0:01:24- She examined Alaw...
0:01:24 > 0:01:27- ..and decided - it could be appendicitis.
0:01:28 > 0:01:30- She was admitted immediately.
0:01:30 > 0:01:34- She had a choice to go - to an adult or children's ward.
0:01:34 > 0:01:35- There was no room.
0:01:35 > 0:01:40- I'm glad she's in the children's - ward, because of her age.
0:01:40 > 0:01:44- She has had marvellous care, - fair play. They were very fast.
0:01:44 > 0:01:48- You've been in pain - for more than a day, haven't you?
0:01:48 > 0:01:51- Yes, it's been - on and off for a month.
0:01:52 > 0:01:54- I didn't take much notice.
0:01:56 > 0:01:59- It started to really hurt yesterday.
0:02:02 > 0:02:06- No breakfast for Alaw. - She might be going to theatre.
0:02:06 > 0:02:11- But another patient, Owain - Dewi Roberts, is having breakfast.
0:02:11 > 0:02:14- He's already had - his appendix taken out.
0:02:15 > 0:02:18- How good is the toast?
0:02:18 > 0:02:19- Very good.
0:02:21 > 0:02:23- Why do you think it tastes so good?
0:02:26 > 0:02:28- Because there's jam on it.
0:02:28 > 0:02:30- CHUCKLES IN BACKGROUND
0:02:33 > 0:02:36- You were very poorly for a few days.
0:02:36 > 0:02:39- Will you tell me what happened?
0:02:41 > 0:02:43- All round here...
0:02:45 > 0:02:47- ..was very painful.
0:02:49 > 0:02:51- It didn't go away.
0:02:52 > 0:02:54- I had to go to the doctor's.
0:02:55 > 0:02:57- They told me to come here...
0:02:58 > 0:03:02- ..and wait to see - if it was appendicitis.
0:03:05 > 0:03:06- I did have it.
0:03:07 > 0:03:11- So I had to wait - for the operation for a bit.
0:03:13 > 0:03:14- Then I slept.
0:03:14 > 0:03:16- How many appendixes do you have?
0:03:19 > 0:03:21- One, I think.
0:03:21 > 0:03:24- How many appendixes do you have now?
0:03:29 > 0:03:30- None.
0:03:35 > 0:03:39- This young man - is Iago Rhys Jones from Pwllheli.
0:03:39 > 0:03:43- This is the last place in - the whole wide world he wants to be.
0:03:44 > 0:03:45- Why have we come in?
0:03:46 > 0:03:47- To have what?
0:03:47 > 0:03:49- To have the flu jab.
0:03:52 > 0:03:54- He has an egg allergy.
0:03:54 > 0:03:57- He can't have the same - as the other children.
0:03:58 > 0:03:59- He has to have the jab.
0:03:59 > 0:04:03- But it's the second one, - so he knows what's going on.
0:04:03 > 0:04:07- You didn't want to come - this morning, did you? No.
0:04:07 > 0:04:11- It makes us feel better. - We won't get colds.
0:04:11 > 0:04:12- Alright?
0:04:12 > 0:04:14- What happened this morning?
0:04:15 > 0:04:16- He had hysterics.
0:04:17 > 0:04:19- He wouldn't eat breakfast.
0:04:19 > 0:04:21- He didn't want to come at all.
0:04:21 > 0:04:24- He said, "I don't want - a jab. It hurts."
0:04:26 > 0:04:28- He has had a blood test too.
0:04:28 > 0:04:31- He knows very well what happens.
0:04:31 > 0:04:33- But it has to be done.
0:04:35 > 0:04:37- You'll be fine afterwards.
0:04:37 > 0:04:39- We can play with the toys.
0:04:39 > 0:04:41- We've brought sweets with us.
0:04:41 > 0:04:43- Haven't we?
0:04:44 > 0:04:46- You're silly!
0:04:46 > 0:04:47- Hello.
0:04:48 > 0:04:49- Ready?
0:04:51 > 0:04:52- Hiya.
0:04:52 > 0:04:54- Are you alright this morning?
0:04:54 > 0:04:58- I'm Carwyn, one - of the ward's paediatricians.
0:04:58 > 0:04:59- I'm looking for Iago.
0:04:59 > 0:05:01- I'm looking for Iago.- - Here he is.
0:05:01 > 0:05:02- Your hat is wet.
0:05:02 > 0:05:04- Your hat is wet.- - It's soaking!
0:05:09 > 0:05:13- The pain of the flu jab - is over in two ticks.
0:05:14 > 0:05:15- He's fine now.
0:05:16 > 0:05:17- You're a good boy.
0:05:18 > 0:05:19- Thanks.
0:05:19 > 0:05:21- Let's go to the playroom.
0:05:23 > 0:05:25- Bye, Iago.
0:05:27 > 0:05:29- Fair play to him.
0:05:29 > 0:05:30- Yes.
0:05:30 > 0:05:32- He was nervous at first.
0:05:33 > 0:05:34- He came round.
0:05:34 > 0:05:35- Fair play.
0:05:38 > 0:05:43- Gwion Davies, who has cerebral - palsy, is in a bed near the nurses.
0:05:46 > 0:05:48- He's a bit better this morning.
0:05:48 > 0:05:51- He has a slight temperature.
0:05:51 > 0:05:56- They're thinking of putting a tube - straight to his tummy to feed him...
0:05:56 > 0:05:59- ..so he doesn't have - to do the work himself.
0:05:59 > 0:06:01- He's a bit dehydrated this morning.
0:06:01 > 0:06:03- He's a bit dehydrated this morning.- - Do you come in often with him?
0:06:03 > 0:06:07- We came in August, - September and now.
0:06:08 > 0:06:10- It's more often in winter.
0:06:13 > 0:06:16- Because Gwion is drowsy...
0:06:16 > 0:06:20- ..he needs a physiotherapist's - help to clear his lungs.
0:06:25 > 0:06:28- I'm doing a little bit - of percussion...
0:06:29 > 0:06:31- ..on the thorax, the chest...
0:06:32 > 0:06:36- ..just to try and loosen - some secretions and mucus.
0:06:36 > 0:06:40- Hopefully, this young man - will just cough it out...
0:06:40 > 0:06:42- ..or swallow it himself...
0:06:42 > 0:06:46- ..and we won't have to do - any further intervention.
0:06:46 > 0:06:50- We're trying to keep his lungs - clear after his condition.
0:06:52 > 0:06:55- Why do you keep - looking at the monitor?
0:06:55 > 0:07:00- I'm watching his oxygen saturation, - the amount of oxygen in his blood...
0:07:00 > 0:07:02- ..and his heart rate...
0:07:02 > 0:07:06- ..to make sure he doesn't lose - oxygen with being turned.
0:07:07 > 0:07:11- Obviously, there's always that - chance because of the condition.
0:07:12 > 0:07:15- And to hopefully see - that numbers go up as well.
0:07:16 > 0:07:18- This is Gwion Davies's chart.
0:07:18 > 0:07:23- He has been with us since yesterday, - or rather the day before.
0:07:23 > 0:07:26- He's having - some problems this morning.
0:07:26 > 0:07:31- Very unusually for Gwion, - he won't take his medicine.
0:07:31 > 0:07:36- They tried giving his usual medicine - and the antibiotics too.
0:07:37 > 0:07:39- But he spat it all out.
0:07:39 > 0:07:43- He has a temperature. - They think he has a chest infection.
0:07:44 > 0:07:46- All in all, - he's not too happy today...
0:07:47 > 0:07:49- ..and not taking his medication.
0:07:49 > 0:07:55- They might put a tube down his nose - to his stomach, to give medicine.
0:07:55 > 0:07:58- He's on medication - to prevent seizures.
0:07:58 > 0:08:00- It's important he takes it.
0:08:00 > 0:08:05- If he can't take antibiotics, - he won't get better.
0:08:07 > 0:08:09- What's happening now?
0:08:09 > 0:08:14- He's having an NG tube, so fluids - go straight to his stomach.
0:08:14 > 0:08:15- He's not swallowing very well.
0:08:15 > 0:08:17- He's not swallowing very well.- - Has he had one before?
0:08:17 > 0:08:20- Yes. He usually does, - when he comes in.
0:08:23 > 0:08:24- GWION MAKES SMALL NOISE
0:08:24 > 0:08:26- GWION MAKES SMALL NOISE- - There you are.
0:08:26 > 0:08:28- Good boy.
0:08:29 > 0:08:30- Almost finished.
0:08:35 > 0:08:36- Well done.
0:08:38 > 0:08:39- Just hold that there.
0:08:43 > 0:08:45- MACHINE BLEEPS
0:08:55 > 0:08:57- Something is coming up.
0:08:57 > 0:08:58- Good.
0:08:59 > 0:09:02- To make sure it's in the stomach...
0:09:02 > 0:09:06- ..we need to test - what comes up in the tube.
0:09:06 > 0:09:10- We measure from the nose - to the ear down to the stomach...
0:09:10 > 0:09:12- ..from outside.
0:09:13 > 0:09:17- Hopefully, when pulling back, - we get a little fluid.
0:09:17 > 0:09:19- We test it on this pH stick.
0:09:21 > 0:09:23- That looks fine.
0:09:25 > 0:09:29- We compare it with - the different pH levels on this.
0:09:31 > 0:09:33- It's about 3 or 3.5.
0:09:34 > 0:09:36- That's in the stomach.
0:09:37 > 0:09:39- So it can be used now.
0:09:39 > 0:09:42- When we put something - in the tube...
0:09:42 > 0:09:47- ..we have to test it every time - before putting something in.
0:09:47 > 0:09:50- Very often, it can - move from the stomach.
0:09:50 > 0:09:54- We always have to make sure - it's in the right place.
0:09:54 > 0:09:58- It can be dangerous - if it's not in the right place.
0:09:58 > 0:10:02- That's champion, - so it's ready to be used now.
0:10:02 > 0:10:02- .
0:10:08 > 0:10:08- Subtitles
0:10:08 > 0:10:10- Subtitles- - Subtitles
0:10:16 > 0:10:20- I'm waiting to go to theatre - to have my appendix taken out.
0:10:21 > 0:10:22- I'm rather nervous.
0:10:24 > 0:10:29- The people giving me - the anaesthetic came to talk to me.
0:10:30 > 0:10:34- They asked questions - and made me a bit more nervous!
0:10:34 > 0:10:37- I just want to get it over with now.
0:10:38 > 0:10:40- After deliberating all day...
0:10:40 > 0:10:45- ..the doctors decided to have - a look inside Alaw's tummy...
0:10:45 > 0:10:47- ..and take out the appendix too.
0:10:50 > 0:10:54- I'm having a keyhole procedure, - a camera in the navel.
0:10:55 > 0:10:57- They'll see what's wrong inside.
0:10:58 > 0:11:01- They're going to take out - the appendix anyway...
0:11:02 > 0:11:04- ..to save opening me up - another time.
0:11:06 > 0:11:10- But Alaw can't have surgery - with varnished nails.
0:11:11 > 0:11:13- It's not that kind of theatre.
0:11:22 > 0:11:24- It's like having an NHS pedicure!
0:11:24 > 0:11:25- LAUGHTER
0:11:35 > 0:11:36- Here we go.
0:11:43 > 0:11:47- Gwion has taken - his medication. He's better.
0:11:56 > 0:12:01- Once he had Dioralyte and water, - he was like a new boy.
0:12:02 > 0:12:03- He was much better.
0:12:12 > 0:12:15- I'll put this on. - We don't want it to move.
0:12:15 > 0:12:18- What do you think will happen today?
0:12:19 > 0:12:24- I think we'll be here for a while, - until he comes off oxygen.
0:12:24 > 0:12:26- But he sounds much better.
0:12:26 > 0:12:30- So hopefully, they'll carry - on with the treatment.
0:12:35 > 0:12:37- MACHINE BLEEPS
0:12:47 > 0:12:48- CHUCKLES
0:12:50 > 0:12:54- In Theatre 4, the team - is preparing for Alaw's surgery.
0:12:59 > 0:13:01- Alaw is preparing herself.
0:13:12 > 0:13:15- Alaw has been anaesthetized.
0:13:16 > 0:13:18- She's nice and relaxed.
0:13:22 > 0:13:25- Looking at Alaw's symptoms...
0:13:26 > 0:13:28- ..things aren't clear.
0:13:29 > 0:13:33- We're not sure if the appendix - is the problem or not.
0:13:35 > 0:13:37- Ready, steady, slide.
0:13:39 > 0:13:43- Before doing that, we'll put - a camera in the stomach...
0:13:43 > 0:13:47- ..and have a look at the organs, - especially the bowels.
0:13:47 > 0:13:50- We'll look at - the appendix and liver...
0:13:50 > 0:13:53- ..the stomach and bladder...
0:13:54 > 0:13:58- ..the female organs - like the ovaries...
0:13:59 > 0:14:01- ..and the uterus.
0:14:01 > 0:14:03- That's our intention.
0:14:03 > 0:14:08- But because we're going in, we'll - probably take out the appendix.
0:14:09 > 0:14:13- Every surgeon has - his or her own ideas...
0:14:15 > 0:14:17- ..about that option.
0:14:19 > 0:14:22- After discussing it with Alaw...
0:14:22 > 0:14:26- ..we're going to take out - the appendix today.
0:14:26 > 0:14:30- We might see something else - that causes the pain.
0:14:30 > 0:14:35- We can ask other - specialists to come in...
0:14:35 > 0:14:40- ..if we discover something - unfamiliar to us as surgeons.
0:15:03 > 0:15:06- As you see, we're ready - to take out the appendix.
0:15:06 > 0:15:09- The surgeon is making - a small window.
0:15:09 > 0:15:15- We're trying to stop - the blood going to the appendix.
0:15:16 > 0:15:19- We put plastic clips in first.
0:15:20 > 0:15:25- When they're in place, - we stop the blood supply.
0:15:26 > 0:15:30- If everything looks well, - with what we call haemostasis...
0:15:30 > 0:15:34- ..meaning no bleeding, - which we must deal with first...
0:15:35 > 0:15:38- ..then we can move forward - and take out the appendix.
0:15:38 > 0:15:43- We put loops on first, - which strangles the appendix.
0:15:43 > 0:15:47- It ensures dirt can't escape - from the appendix stump...
0:15:49 > 0:15:51- ..to the stomach.
0:15:56 > 0:15:59- We saw some bloodstained fluid.
0:16:01 > 0:16:03- That can be normal.
0:16:04 > 0:16:08- It depends on Alaw's - menstrual cycle.
0:16:09 > 0:16:14- Or a small ovarian cyst could have - burst and caused a bit of fluid.
0:16:16 > 0:16:21- It's enough to cause - some irritation to the lining...
0:16:21 > 0:16:24- ..and pain in that area.
0:16:26 > 0:16:29- There was a little dirt - in the appendix.
0:16:29 > 0:16:32- But the appendix wasn't inflamed.
0:16:33 > 0:16:35- That can lead to appendicitis.
0:16:37 > 0:16:39- But everything went as we wished.
0:16:39 > 0:16:43- We'll see how Alaw is later - on the ward.
0:16:43 > 0:16:46- Hopefully, she can - go home later today.
0:16:47 > 0:16:51- Mr Whiteley and his team - are on their way to see Owain.
0:16:51 > 0:16:55- Owain had his appendix - taken out two days ago.
0:16:55 > 0:16:57- He's ready to go home.
0:16:59 > 0:17:01- So whereabouts are we?
0:17:01 > 0:17:02- Here.
0:17:04 > 0:17:05- Good morning.
0:17:05 > 0:17:06- Good morning.
0:17:06 > 0:17:07- How are you?
0:17:07 > 0:17:08- How are you?- - Good, thank you.
0:17:08 > 0:17:09- Feeling good?
0:17:10 > 0:17:11- I'll pull the curtains.
0:17:13 > 0:17:16- Three aces. You're beating your mum!
0:17:16 > 0:17:17- Three aces. You're beating your mum!- - Yes. I just won!
0:17:18 > 0:17:19- How are you feeling?
0:17:20 > 0:17:21- Good.
0:17:21 > 0:17:21- Eating?
0:17:21 > 0:17:22- Eating?- - Yes.
0:17:22 > 0:17:24- Drinking?
0:17:24 > 0:17:25- Going to the loo?
0:17:26 > 0:17:27- Not for a poo.
0:17:28 > 0:17:29- Been for a wee?
0:17:29 > 0:17:30- Been for a wee?- - Yes.
0:17:31 > 0:17:33- Great. Do you feel like going home?
0:17:33 > 0:17:35- Yes! OK.
0:17:35 > 0:17:37- Can I have a look at you?
0:17:37 > 0:17:39- Just lie yourself down.
0:17:43 > 0:17:45- Pulse rate is fine and temperature.
0:17:45 > 0:17:46- Pulse rate is fine and temperature.- - Good.
0:17:49 > 0:17:51- Let's see the great scenery.
0:17:52 > 0:17:53- OK.
0:17:57 > 0:17:59- It doesn't look too red, does it?
0:17:59 > 0:18:00- It doesn't look too red, does it?- - No.
0:18:01 > 0:18:02- Does it still hurt a lot?
0:18:02 > 0:18:03- Does it still hurt a lot?- - No.
0:18:03 > 0:18:05- So it's better.
0:18:09 > 0:18:11- Pop your head back. Relax.
0:18:12 > 0:18:14- Let me do all the work.
0:18:15 > 0:18:18- OK, fellow, off you go home.
0:18:18 > 0:18:20- Yeah!
0:18:20 > 0:18:21- Enjoy yourself.
0:18:21 > 0:18:22- Alright. Well done.
0:18:22 > 0:18:23- Alright. Well done.- - Thank you.
0:18:24 > 0:18:25- Are you happy, mum?
0:18:25 > 0:18:26- Are you happy, mum?- - Yes, thank you.
0:18:29 > 0:18:30- Bye bye!
0:18:30 > 0:18:31- Bye bye!- - Thank you. Bye.
0:18:35 > 0:18:37- OK, that's it! Great.
0:18:38 > 0:18:39- Have you finished?
0:18:39 > 0:18:41- Good. Well done.
0:18:41 > 0:18:44- Is that normal, - three days and all done?
0:18:44 > 0:18:45- Normally three days.
0:18:45 > 0:18:49- But as soon as people are up - and about, eating, drinking...
0:18:50 > 0:18:53- ..that's the way they should be, - home when they like.
0:18:53 > 0:18:58- Kids are resilient. They'll tell - you when they want to go home.
0:18:58 > 0:19:01- But poor Gwion can't say - that he wants to go home.
0:19:02 > 0:19:04- He's been smiling today.
0:19:04 > 0:19:09- I disturbed him when I changed his - nappy. He's not happy with me now.
0:19:09 > 0:19:10- Are you, Gwion?
0:19:10 > 0:19:12- Are you going to wake up?
0:19:13 > 0:19:14- Are you?
0:19:16 > 0:19:19- As you can see, Gwion likes cuddles.
0:19:22 > 0:19:25- He'd sit here all day, - like a teddy bear.
0:19:26 > 0:19:28- His sister is the opposite.
0:19:28 > 0:19:32- She won't sit on your knee. - She's always on the move.
0:19:33 > 0:19:34- Yes.
0:19:35 > 0:19:38- He's leaving today, - hopefully, to Ty Gobaith...
0:19:39 > 0:19:41- ..for a five day respite break.
0:19:41 > 0:19:45- The oxygen is down to 0.7 now, - which is good for him.
0:19:45 > 0:19:48- It's settled. - He's much better in himself.
0:19:50 > 0:19:52- His oxygen is down a lot too.
0:19:52 > 0:19:55- We're here four - or five times a year...
0:19:57 > 0:19:59- ..because of his chest.
0:19:59 > 0:20:03- He doesn't move, - so everything accumulates.
0:20:04 > 0:20:06- We have a standing frame at home.
0:20:07 > 0:20:10- He goes on it every night. - It helps him.
0:20:10 > 0:20:12- He can stand on it.
0:20:13 > 0:20:15- He didn't like it, but he does now.
0:20:16 > 0:20:20- It strengthens his legs, - bless him. Yes.
0:20:26 > 0:20:28- Alaw is back safely on Dewi Ward...
0:20:28 > 0:20:30- ..but without her appendix.
0:20:50 > 0:20:55- The ambulance has arrived - to take Gwion to Ty Gobaith...
0:20:55 > 0:20:57- ..the children's hospice.
0:20:57 > 0:21:00- I think someone knows he's leaving!
0:21:00 > 0:21:02- GURGLES
0:21:10 > 0:21:12- Have you got it?
0:21:12 > 0:21:13- It's round his leg.
0:21:13 > 0:21:15- MACHINE BLEEPS
0:21:17 > 0:21:19- Hello, Gwion.
0:21:32 > 0:21:33- He's small.
0:21:37 > 0:21:39- Alaw has come round.
0:21:41 > 0:21:43- I think everything went well...
0:21:45 > 0:21:49- ..although I've had thirteen - needles since Sunday night.
0:21:49 > 0:21:52- They couldn't get a blood sample.
0:21:52 > 0:21:56- I'm alright. - It's a bit uncomfortable lying down.
0:21:57 > 0:22:01- I hope that will pass - and I can walk in a while.
0:22:03 > 0:22:05- Do you know what they did to you?
0:22:06 > 0:22:10- They found a burst - cyst on the ovaries.
0:22:12 > 0:22:14- The fluid messed up my insides.
0:22:14 > 0:22:16- That caused the pain.
0:22:17 > 0:22:19- They took the appendix out anyway.
0:22:20 > 0:22:22- So I'll never have appendix pains!
0:22:27 > 0:22:29- Bye, Gwion, until next time.
0:22:33 > 0:22:34- Thanks.
0:22:35 > 0:22:37- You're welcome. Ta-ra.
0:22:39 > 0:22:42- Your story, my friends, - has touched my heart.
0:22:42 > 0:22:44- My son was ill once.
0:22:45 > 0:22:47- His name is Gwion.
0:22:49 > 0:22:54- Gwion goes back and forth to - hospital with the chest infection.
0:22:58 > 0:23:03- Iago hasn't had a cold - since the vaccination.
0:23:05 > 0:23:09- Alaw is having tests to see - if she has Irritable Bowel Syndrome.
0:23:28 > 0:23:30- S4C Subtitles by Gwead
0:23:31 > 0:23:31- .