Pennod 9 Ward Plant

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-The sun rises slowly over Snowdonia.

-It throws some of its fire

-on Dewi Ward's window.

-It's very full.

-We're trying to sort out the board

-and allocate patients to nurses.

-There are no beds.

-BACKGROUND CONVERSATION

-They have to go to the

-A&E Department to be assessed.

-They might be moved

-to Glan Clwyd or Wrexham...

-..depending where there are beds.

-Alaw Saynor from Llanberis

-has a bed in Dewi Ward

-I came in last night with terrible

-pains low on my right side.

-It was horrible, wasn't it?

-Very painful.

-Not nice.

-We had an appointment quite quickly

-to see the nurse practitioner.

-She examined Alaw...

-..and decided

-it could be appendicitis.

-She was admitted immediately.

-She had a choice to go

-to an adult or children's ward.

-There was no room.

-I'm glad she's in the children's

-ward, because of her age.

-She has had marvellous care,

-fair play. They were very fast.

-You've been in pain

-for more than a day, haven't you?

-Yes, it's been

-on and off for a month.

-I didn't take much notice.

-It started to really hurt yesterday.

-No breakfast for Alaw.

-She might be going to theatre.

-But another patient, Owain

-Dewi Roberts, is having breakfast.

-He's already had

-his appendix taken out.

-How good is the toast?

-Very good.

-Why do you think it tastes so good?

-Because there's jam on it.

-CHUCKLES IN BACKGROUND

-You were very poorly for a few days.

-Will you tell me what happened?

-All round here...

-..was very painful.

-It didn't go away.

-I had to go to the doctor's.

-They told me to come here...

-..and wait to see

-if it was appendicitis.

-I did have it.

-So I had to wait

-for the operation for a bit.

-Then I slept.

-How many appendixes do you have?

-One, I think.

-How many appendixes do you have now?

-None.

-This young man

-is Iago Rhys Jones from Pwllheli.

-This is the last place in

-the whole wide world he wants to be.

-Why have we come in?

-To have what?

-To have the flu jab.

-He has an egg allergy.

-He can't have the same

-as the other children.

-He has to have the jab.

-But it's the second one,

-so he knows what's going on.

-You didn't want to come

-this morning, did you? No.

-It makes us feel better.

-We won't get colds.

-Alright?

-What happened this morning?

-He had hysterics.

-He wouldn't eat breakfast.

-He didn't want to come at all.

-He said, "I don't want

-a jab. It hurts."

-He has had a blood test too.

-He knows very well what happens.

-But it has to be done.

-You'll be fine afterwards.

-We can play with the toys.

-We've brought sweets with us.

-Haven't we?

-You're silly!

-Hello.

-Ready?

-Hiya.

-Are you alright this morning?

-I'm Carwyn, one

-of the ward's paediatricians.

-I'm looking for Iago.

-I'm looking for Iago.

-

-Here he is.

-Your hat is wet.

-Your hat is wet.

-

-It's soaking!

-The pain of the flu jab

-is over in two ticks.

-He's fine now.

-You're a good boy.

-Thanks.

-Let's go to the playroom.

-Bye, Iago.

-Fair play to him.

-Yes.

-He was nervous at first.

-He came round.

-Fair play.

-Gwion Davies, who has cerebral

-palsy, is in a bed near the nurses.

-He's a bit better this morning.

-He has a slight temperature.

-They're thinking of putting a tube

-straight to his tummy to feed him...

-..so he doesn't have

-to do the work himself.

-He's a bit dehydrated this morning.

-He's a bit dehydrated this morning.

-

-Do you come in often with him?

-We came in August,

-September and now.

-It's more often in winter.

-Because Gwion is drowsy...

-..he needs a physiotherapist's

-help to clear his lungs.

-I'm doing a little bit

-of percussion...

-..on the thorax, the chest...

-..just to try and loosen

-some secretions and mucus.

-Hopefully, this young man

-will just cough it out...

-..or swallow it himself...

-..and we won't have to do

-any further intervention.

-We're trying to keep his lungs

-clear after his condition.

-Why do you keep

-looking at the monitor?

-I'm watching his oxygen saturation,

-the amount of oxygen in his blood...

-..and his heart rate...

-..to make sure he doesn't lose

-oxygen with being turned.

-Obviously, there's always that

-chance because of the condition.

-And to hopefully see

-that numbers go up as well.

-This is Gwion Davies's chart.

-He has been with us since yesterday,

-or rather the day before.

-He's having

-some problems this morning.

-Very unusually for Gwion,

-he won't take his medicine.

-They tried giving his usual medicine

-and the antibiotics too.

-But he spat it all out.

-He has a temperature.

-They think he has a chest infection.

-All in all,

-he's not too happy today...

-..and not taking his medication.

-They might put a tube down his nose

-to his stomach, to give medicine.

-He's on medication

-to prevent seizures.

-It's important he takes it.

-If he can't take antibiotics,

-he won't get better.

-What's happening now?

-He's having an NG tube, so fluids

-go straight to his stomach.

-He's not swallowing very well.

-He's not swallowing very well.

-

-Has he had one before?

-Yes. He usually does,

-when he comes in.

-GWION MAKES SMALL NOISE

-GWION MAKES SMALL NOISE

-

-There you are.

-Good boy.

-Almost finished.

-Well done.

-Just hold that there.

-MACHINE BLEEPS

-Something is coming up.

-Good.

-To make sure it's in the stomach...

-..we need to test

-what comes up in the tube.

-We measure from the nose

-to the ear down to the stomach...

-..from outside.

-Hopefully, when pulling back,

-we get a little fluid.

-We test it on this pH stick.

-That looks fine.

-We compare it with

-the different pH levels on this.

-It's about 3 or 3.5.

-That's in the stomach.

-So it can be used now.

-When we put something

-in the tube...

-..we have to test it every time

-before putting something in.

-Very often, it can

-move from the stomach.

-We always have to make sure

-it's in the right place.

-It can be dangerous

-if it's not in the right place.

-That's champion,

-so it's ready to be used now.

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-I'm waiting to go to theatre

-to have my appendix taken out.

-I'm rather nervous.

-The people giving me

-the anaesthetic came to talk to me.

-They asked questions

-and made me a bit more nervous!

-I just want to get it over with now.

-After deliberating all day...

-..the doctors decided to have

-a look inside Alaw's tummy...

-..and take out the appendix too.

-I'm having a keyhole procedure,

-a camera in the navel.

-They'll see what's wrong inside.

-They're going to take out

-the appendix anyway...

-..to save opening me up

-another time.

-But Alaw can't have surgery

-with varnished nails.

-It's not that kind of theatre.

-It's like having an NHS pedicure!

-LAUGHTER

-Here we go.

-Gwion has taken

-his medication. He's better.

-Once he had Dioralyte and water,

-he was like a new boy.

-He was much better.

-I'll put this on.

-We don't want it to move.

-What do you think will happen today?

-I think we'll be here for a while,

-until he comes off oxygen.

-But he sounds much better.

-So hopefully, they'll carry

-on with the treatment.

-MACHINE BLEEPS

-CHUCKLES

-In Theatre 4, the team

-is preparing for Alaw's surgery.

-Alaw is preparing herself.

-Alaw has been anaesthetized.

-She's nice and relaxed.

-Looking at Alaw's symptoms...

-..things aren't clear.

-We're not sure if the appendix

-is the problem or not.

-Ready, steady, slide.

-Before doing that, we'll put

-a camera in the stomach...

-..and have a look at the organs,

-especially the bowels.

-We'll look at

-the appendix and liver...

-..the stomach and bladder...

-..the female organs

-like the ovaries...

-..and the uterus.

-That's our intention.

-But because we're going in, we'll

-probably take out the appendix.

-Every surgeon has

-his or her own ideas...

-..about that option.

-After discussing it with Alaw...

-..we're going to take out

-the appendix today.

-We might see something else

-that causes the pain.

-We can ask other

-specialists to come in...

-..if we discover something

-unfamiliar to us as surgeons.

-As you see, we're ready

-to take out the appendix.

-The surgeon is making

-a small window.

-We're trying to stop

-the blood going to the appendix.

-We put plastic clips in first.

-When they're in place,

-we stop the blood supply.

-If everything looks well,

-with what we call haemostasis...

-..meaning no bleeding,

-which we must deal with first...

-..then we can move forward

-and take out the appendix.

-We put loops on first,

-which strangles the appendix.

-It ensures dirt can't escape

-from the appendix stump...

-..to the stomach.

-We saw some bloodstained fluid.

-That can be normal.

-It depends on Alaw's

-menstrual cycle.

-Or a small ovarian cyst could have

-burst and caused a bit of fluid.

-It's enough to cause

-some irritation to the lining...

-..and pain in that area.

-There was a little dirt

-in the appendix.

-But the appendix wasn't inflamed.

-That can lead to appendicitis.

-But everything went as we wished.

-We'll see how Alaw is later

-on the ward.

-Hopefully, she can

-go home later today.

-Mr Whiteley and his team

-are on their way to see Owain.

-Owain had his appendix

-taken out two days ago.

-He's ready to go home.

-So whereabouts are we?

-Here.

-Good morning.

-Good morning.

-How are you?

-How are you?

-

-Good, thank you.

-Feeling good?

-I'll pull the curtains.

-Three aces. You're beating your mum!

-Three aces. You're beating your mum!

-

-Yes. I just won!

-How are you feeling?

-Good.

-Eating?

-Eating?

-

-Yes.

-Drinking?

-Going to the loo?

-Not for a poo.

-Been for a wee?

-Been for a wee?

-

-Yes.

-Great. Do you feel like going home?

-Yes! OK.

-Can I have a look at you?

-Just lie yourself down.

-Pulse rate is fine and temperature.

-Pulse rate is fine and temperature.

-

-Good.

-Let's see the great scenery.

-OK.

-It doesn't look too red, does it?

-It doesn't look too red, does it?

-

-No.

-Does it still hurt a lot?

-Does it still hurt a lot?

-

-No.

-So it's better.

-Pop your head back. Relax.

-Let me do all the work.

-OK, fellow, off you go home.

-Yeah!

-Enjoy yourself.

-Alright. Well done.

-Alright. Well done.

-

-Thank you.

-Are you happy, mum?

-Are you happy, mum?

-

-Yes, thank you.

-Bye bye!

-Bye bye!

-

-Thank you. Bye.

-OK, that's it! Great.

-Have you finished?

-Good. Well done.

-Is that normal,

-three days and all done?

-Normally three days.

-But as soon as people are up

-and about, eating, drinking...

-..that's the way they should be,

-home when they like.

-Kids are resilient. They'll tell

-you when they want to go home.

-But poor Gwion can't say

-that he wants to go home.

-He's been smiling today.

-I disturbed him when I changed his

-nappy. He's not happy with me now.

-Are you, Gwion?

-Are you going to wake up?

-Are you?

-As you can see, Gwion likes cuddles.

-He'd sit here all day,

-like a teddy bear.

-His sister is the opposite.

-She won't sit on your knee.

-She's always on the move.

-Yes.

-He's leaving today,

-hopefully, to Ty Gobaith...

-..for a five day respite break.

-The oxygen is down to 0.7 now,

-which is good for him.

-It's settled.

-He's much better in himself.

-His oxygen is down a lot too.

-We're here four

-or five times a year...

-..because of his chest.

-He doesn't move,

-so everything accumulates.

-We have a standing frame at home.

-He goes on it every night.

-It helps him.

-He can stand on it.

-He didn't like it, but he does now.

-It strengthens his legs,

-bless him. Yes.

-Alaw is back safely on Dewi Ward...

-..but without her appendix.

-The ambulance has arrived

-to take Gwion to Ty Gobaith...

-..the children's hospice.

-I think someone knows he's leaving!

-GURGLES

-Have you got it?

-It's round his leg.

-MACHINE BLEEPS

-Hello, Gwion.

-He's small.

-Alaw has come round.

-I think everything went well...

-..although I've had thirteen

-needles since Sunday night.

-They couldn't get a blood sample.

-I'm alright.

-It's a bit uncomfortable lying down.

-I hope that will pass

-and I can walk in a while.

-Do you know what they did to you?

-They found a burst

-cyst on the ovaries.

-The fluid messed up my insides.

-That caused the pain.

-They took the appendix out anyway.

-So I'll never have appendix pains!

-Bye, Gwion, until next time.

-Thanks.

-You're welcome. Ta-ra.

-Your story, my friends,

-has touched my heart.

-My son was ill once.

-His name is Gwion.

-Gwion goes back and forth to

-hospital with the chest infection.

-Iago hasn't had a cold

-since the vaccination.

-Alaw is having tests to see

-if she has Irritable Bowel Syndrome.

-S4C Subtitles by Gwead

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