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0:00:06 > 0:00:11- Bangor's Ysbyty Gwynedd - is a busy yet homely place.
0:00:13 > 0:00:16- Its 530 beds and 3,500 staff...
0:00:16 > 0:00:21- ..serve the people - of North West Wales.
0:00:22 > 0:00:24- Every aspect of life is seen here.
0:00:25 > 0:00:29- Excitement at the Accident Unit, - joy at the Maternity Unit.
0:00:29 > 0:00:33- They treat sick children - and care for the elderly.
0:00:34 > 0:00:38- Operations, deaths and births...
0:00:38 > 0:00:41- ..cleaners, chefs, - maintenance workers...
0:00:42 > 0:00:44- ..and laughter.
0:00:44 > 0:00:47- This and more in Ysbyty Gwynedd.
0:01:05 > 0:01:07- Good morning.
0:01:07 > 0:01:09- I'll bring you fresh water.
0:01:13 > 0:01:16- At 8am, cleaner - Glyn Rowlands begins his rounds.
0:01:17 > 0:01:21- He changes the drinking water - and washes the jugs.
0:01:22 > 0:01:24- Good morning.
0:01:25 > 0:01:30- There must be at least 80 cleaners, - between the part-timers.
0:01:32 > 0:01:33- I reckon so.
0:01:35 > 0:01:38- It's important to wash the jugs.
0:01:39 > 0:01:43- There are different infections here.
0:01:44 > 0:01:48- I make sure they're spotless.
0:01:50 > 0:01:53- I didn't enjoy my first week.
0:01:54 > 0:01:57- I was given Enlli Ward - and I settled down.
0:01:57 > 0:02:01- I must enjoy it - I arrive - 45 minutes early every morning!
0:02:02 > 0:02:04- I've never been late.
0:02:07 > 0:02:13- The patients on Enlli Ward - were there for months.
0:02:13 > 0:02:16- I've seen things happen.
0:02:17 > 0:02:19- It's shocking.
0:02:19 > 0:02:24- It's important to switch off - after a day's work.
0:02:37 > 0:02:42- In the Accident Unit, Dr Linda Dykes - welcomes a new patient.
0:02:42 > 0:02:44- He's hurt his big toe.
0:02:44 > 0:02:49- My name's Linda, I'm one of the - consultants. Pleased to meet you.
0:02:49 > 0:02:53- Who's going to tell me - what's happened, Mum or Ryan?
0:02:54 > 0:02:59- I was getting up on the sofa, - and it went back until it clicked.
0:03:00 > 0:03:01- The whole foot or just the toe?
0:03:01 > 0:03:02- The whole foot or just the toe?- - Just the toe.
0:03:02 > 0:03:04- We'll have a little look.
0:03:04 > 0:03:09- It's very seasonal, actually. The - bulk of our work load is medical.
0:03:09 > 0:03:14- A lot of people have a perception - emergency medicine is about trauma.
0:03:15 > 0:03:19- But actually, we have huge numbers - of sick people as well.
0:03:19 > 0:03:23- We have a high work load of minor - injuries this time of year.
0:03:23 > 0:03:26- We try to separate the major things - from the minor things.
0:03:27 > 0:03:29- If not, - the whole place gets bunged up.
0:03:29 > 0:03:33- I need you to shout if it gets sore.
0:03:33 > 0:03:37- Sore? You don't like - that very much, I'm sorry.
0:03:38 > 0:03:41- Sore? OK darling, sorry.
0:03:41 > 0:03:44- I think we have - to get an X-ray of that for you.
0:03:44 > 0:03:48- The actual little bit of the toe, - we don't worry about...
0:03:48 > 0:03:53- ..so long they're pointing - in the right direction.
0:03:53 > 0:03:55- At the base of the toe, - it's actually into his foot.
0:03:56 > 0:04:00- It's quite sore and I want to make - sure we haven't got a little break.
0:04:01 > 0:04:02- Underneath hurts as well.
0:04:02 > 0:04:06- Bones are two sided and I suspect - it's very sore on the top.
0:04:07 > 0:04:09- If I gently check the bottom...
0:04:09 > 0:04:12- ..he doesn't like that very much, - he's clenching his fist!
0:04:12 > 0:04:17- We'll get an X-ray and have a - look at that in a few minutes' time.
0:04:23 > 0:04:27- Ryan needs a scan to determine - the seriousness of the injury.
0:04:44 > 0:04:50- Vital scientific work is carried out - in the Pathology Laboratory.
0:04:51 > 0:04:54- The purpose of our work...
0:04:54 > 0:04:58- ..is to ensure the blood is safe.
0:04:58 > 0:05:02- As little as a dessert spoon - of the wrong blood could kill.
0:05:03 > 0:05:05- It's obviously important work!
0:05:07 > 0:05:10- We start by taking a blood sample.
0:05:10 > 0:05:14- It's critical - to label the sample correctly.
0:05:15 > 0:05:20- We have a zero tolerance policy. - We can't afford to make mistakes.
0:05:21 > 0:05:27- Geraint is making sure everything - is correctly labelled.
0:05:28 > 0:05:32- He compares the form that - the doctor or nurse has filled...
0:05:32 > 0:05:35- ..with the labelled sample.
0:05:42 > 0:05:45- This is the Histopathology Unit.
0:05:45 > 0:05:51- We analyze the tissue that arrives - from the theatre or GP.
0:05:51 > 0:05:57- This is a cancerous breast.
0:06:00 > 0:06:02- Within the tissue...
0:06:02 > 0:06:07- ..we can see where the tumour - is separated from the fat.
0:06:08 > 0:06:12- It takes time for the larger - specimens to go through.
0:06:12 > 0:06:17- Small specimens, such as - gastric and needle biopsies...
0:06:18 > 0:06:22- ..are processed overnight.
0:06:22 > 0:06:27- The larger specimens can take - up to a week, sometimes longer.
0:06:27 > 0:06:31- They are treated with chemicals - so we can cut sections...
0:06:31 > 0:06:33- ..in order to study the results.
0:06:42 > 0:06:45- Glyn Rowlands has finished the jugs.
0:06:45 > 0:06:49- He'll concentrate - on the floors next.
0:06:49 > 0:06:52- It's colour-coded.
0:06:52 > 0:06:58- The red and pink mops - are used in the toilets.
0:07:02 > 0:07:05- Blue is for the wards.
0:07:05 > 0:07:08- Green is for the kitchen.
0:07:09 > 0:07:13- We call the yellow ones barriers.
0:07:18 > 0:07:23- I'm an organised person, - even at home.
0:07:23 > 0:07:26- I know where everything is.
0:07:26 > 0:07:30- I like everything to be in place, - and here, too.
0:07:33 > 0:07:35- I'm going to dry-mop...
0:07:36 > 0:07:40- ..and then wet-mop - the two bays there.
0:07:40 > 0:07:43- The doctors and nurses - have finished.
0:07:43 > 0:07:46- It's almost lunchtime.
0:07:47 > 0:07:50- There's plenty to do! - Time flies here.
0:07:56 > 0:08:00- Dr Linda Dykes is studying - Ryan Bailey's X-rays.
0:08:00 > 0:08:04- Do you want the good news - or the bad news?
0:08:04 > 0:08:05- Bad.
0:08:05 > 0:08:07- Bad.- - You do have a broken toe.
0:08:08 > 0:08:12- The good news is it's the best kind - of broken toe to have.
0:08:13 > 0:08:17- It's at the base of the main bit of - toe rather than down into the foot.
0:08:17 > 0:08:21- The bottom of the foot - is sore and bruised...
0:08:22 > 0:08:26- ..because that'll be soft tissue - injury and sprain, basically.
0:08:27 > 0:08:31- You've got a crack - at the bottom of that toe.
0:08:31 > 0:08:34- That gets better by itself.
0:08:34 > 0:08:37- We need to strap the toe - to its next door neighbour.
0:08:37 > 0:08:42- It does take about six weeks, - possibly four because you're young.
0:08:42 > 0:08:45- It's going to be a little bit sore. - OK?
0:08:45 > 0:08:46- Thank you very much.
0:08:46 > 0:08:47- Thank you very much.- - You're welcome.
0:08:55 > 0:08:57- In the Path Lab...
0:08:58 > 0:09:03- ..a tumour sample in a block of - paraffin is ready to be analyzed.
0:09:05 > 0:09:10- Once the paraffin block arrives - we use a microtome to cut it.
0:09:11 > 0:09:15- The microtome cuts very thin slices.
0:09:15 > 0:09:20- To understand how thin it is...
0:09:20 > 0:09:24- ..there are 1,000 micrometers - in one millimetre.
0:09:24 > 0:09:27- It's incredibly thin.
0:09:27 > 0:09:31- We pick up the section...
0:09:34 > 0:09:37- ..on a glass slide.
0:09:37 > 0:09:40- It's inserted in water...
0:09:41 > 0:09:47- ..and the tissue - ends up on the slide.
0:09:47 > 0:09:53- It's colourless and therefore - can't be studied under a microscope.
0:09:53 > 0:09:55- We stain it.
0:09:58 > 0:10:03- The slides are mounted - once they've been stained.
0:10:03 > 0:10:07- A protective film - covers the tissue.
0:10:08 > 0:10:11- They can be stored for 30 years.
0:10:16 > 0:10:18- Once that's done...
0:10:18 > 0:10:23- ..they're matched up - with the request forms...
0:10:23 > 0:10:26- ..that accompanied the samples.
0:10:26 > 0:10:29- They're checked - under the microscope...
0:10:29 > 0:10:33- ..before the pathologist - can prepare a report.
0:10:38 > 0:10:43- I often feel people don't realize - what happens in the laboratory.
0:10:44 > 0:10:47- They visit a doctor - and get sent for tests.
0:10:47 > 0:10:51- They don't think about what goes on.
0:10:51 > 0:10:56- They don't realize we work 24-7, - every day of the year.
0:10:56 > 0:10:59- It's more or less non-stop here.
0:11:05 > 0:11:08- After the break, we join - porters on the corridors...
0:11:09 > 0:11:11- ..cleansing blood - in the Renal Unit...
0:11:12 > 0:11:17- ..breaking the mortuary taboo - and the antenatal labour of love.
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0:11:21 > 0:11:21- Subtitles
0:11:21 > 0:11:23- Subtitles- - Subtitles
0:11:25 > 0:11:27- As teatime approaches...
0:11:27 > 0:11:31- ..the shop and cafe - volunteers prepare for the rush.
0:11:32 > 0:11:36- I was working, - but my husband wanted me to retire.
0:11:36 > 0:11:39- I told him - that I had to do something.
0:11:39 > 0:11:43- I'm here on Wednesday - and Friday mornings. I enjoy it.
0:11:43 > 0:11:45- I'm here for the public.
0:11:47 > 0:11:50- It's a vital service.
0:11:50 > 0:11:53- People appreciate what we do.
0:11:53 > 0:11:56- They don't know - how they'd manage without us.
0:11:56 > 0:11:59- I enjoy it.
0:12:00 > 0:12:03- It's quiet first thing - in the morning.
0:12:03 > 0:12:07- You can never tell - when it'll get busy.
0:12:07 > 0:12:09- It's quiet at the moment.
0:12:10 > 0:12:12- They're avoiding the film crew!
0:12:18 > 0:12:23- There are six unpaid volunteers here - every day.
0:12:24 > 0:12:29- The profit we make - goes back to Ysbyty Gwynedd.
0:12:30 > 0:12:35- We raised half a million - towards the stroke ward.
0:12:37 > 0:12:40- That proves - we generate a healthy profit.
0:12:48 > 0:12:51- Porters come and go all day long.
0:12:53 > 0:12:54- Hello, porters.
0:12:55 > 0:12:56- OK, bye.
0:12:57 > 0:13:02- Can you go to Casualty - to get blood gasses?
0:13:09 > 0:13:11- Some people call me Dafydd.
0:13:11 > 0:13:16- I don't often speak English, - but when I do, they call me David.
0:13:17 > 0:13:19- I know people from school.
0:13:22 > 0:13:23- My nickname is Wheels.
0:13:33 > 0:13:34- OK, thanks.
0:13:34 > 0:13:40- These are the blood test results - for the different wards.
0:13:41 > 0:13:46- I remove the papers - and give them to the ward...
0:13:46 > 0:13:48- ..and take the bags back.
0:13:50 > 0:13:54- On a good day, - it'll take 30 to 45 minutes.
0:13:54 > 0:13:58- If I take my time, - it can take an hour.
0:14:01 > 0:14:03- I've only got two wards to go.
0:14:04 > 0:14:09- I go back to the office to ask - if there's anything else to do...
0:14:10 > 0:14:12- ..or I'll take over on the desk.
0:14:16 > 0:14:21- 56 patients receive dialysis here, - three times a week.
0:14:21 > 0:14:24- This is the Renal Unit.
0:14:25 > 0:14:28- We have 15 chairs here.
0:14:29 > 0:14:35- The patients are here because - their kidneys are not working.
0:14:35 > 0:14:38- They need dialysis...
0:14:38 > 0:14:42- ..to cleanse the blood - and extract water.
0:14:46 > 0:14:50- Philip Blake can work - the machine on his own.
0:14:51 > 0:14:54- I went through college.
0:14:54 > 0:14:59- I laboured on the new road - to pay for my final college year.
0:15:00 > 0:15:03- That's when my kidney failed.
0:15:06 > 0:15:08- I use button holes.
0:15:09 > 0:15:12- I have to get rid of the scabs.
0:15:13 > 0:15:15- I always use the same hole.
0:15:21 > 0:15:24- People come here on work experience.
0:15:26 > 0:15:28- They pass out!
0:15:29 > 0:15:34- It's OK when the needle is inserted. - But they faint when they see blood.
0:15:43 > 0:15:46- It's started to cleanse the blood.
0:15:47 > 0:15:49- Dad usually sits with me at home.
0:15:50 > 0:15:52- We like watching - the same TV programmes.
0:15:53 > 0:15:55- We don't argue over what to watch!
0:15:58 > 0:16:01- It's a busy unit.
0:16:01 > 0:16:03- I like being with the patients.
0:16:04 > 0:16:06- We know we make a difference.
0:16:07 > 0:16:09- We're here to help them.
0:16:09 > 0:16:12- We're one big family.
0:16:12 > 0:16:15- We see them often - and we're very close.
0:16:21 > 0:16:24- The sweet trolley - is doing the rounds.
0:16:25 > 0:16:27- I've been here over ten years.
0:16:28 > 0:16:32- I started here after I retired, - almost 20 years ago.
0:16:33 > 0:16:38- We've worked together - for over ten years.
0:16:39 > 0:16:41- We have fun.
0:16:42 > 0:16:44- We discuss everything.
0:16:45 > 0:16:48- We like to meet the patients.
0:16:50 > 0:16:52- Door opening.
0:16:53 > 0:16:55- We sell a selection of chocolates.
0:16:55 > 0:16:57- We sell a selection of chocolates.- - And crisps.
0:16:59 > 0:17:01- We stock books, too.
0:17:02 > 0:17:06- We haven't been given any today, - stuff for women.
0:17:07 > 0:17:13- We've toothbrushes and toothpaste - in case somebody forgot theirs.
0:17:13 > 0:17:17- This is the price list.
0:17:17 > 0:17:20- Ann looks after the money.
0:17:20 > 0:17:22- That's my job!
0:17:22 > 0:17:24- I run around!
0:17:30 > 0:17:34- People don't often - see this part of the hospital.
0:17:34 > 0:17:36- It's usually hidden - in the background.
0:17:37 > 0:17:39- It's an important part of our work.
0:17:40 > 0:17:45- When a body comes to the mortuary - it is allocated to a fridge.
0:17:46 > 0:17:49- There are 31 fridges - and three freezers.
0:17:49 > 0:17:52- Every corpse gets - an individual fridge...
0:17:53 > 0:17:58- ..until a decision about whether - a post-mortem is required or not.
0:17:59 > 0:18:03- People don't understand - what goes on in the mortuary.
0:18:03 > 0:18:05- It's behind the scenes.
0:18:05 > 0:18:10- Even the nurses and doctors - don't know what goes on here...
0:18:10 > 0:18:14- ..and how the staff - respect their work...
0:18:15 > 0:18:18- ..how seriously - they take their jobs.
0:18:20 > 0:18:24- Believe it or not, - this room is part of the mortuary.
0:18:26 > 0:18:29- It's a difficult time for families.
0:18:30 > 0:18:34- We try to make it - as easy as possible for them.
0:18:35 > 0:18:39- We make sure there are people here - to support them...
0:18:39 > 0:18:41- ..through difficult times.
0:18:41 > 0:18:46- It's the last impression - they'll take away from the hospital.
0:18:46 > 0:18:50- It's important to support them - however we can.
0:18:57 > 0:19:00- On the night shift - in the Accident Unit...
0:19:00 > 0:19:03- ..Dr Linda Dykes - foresees a busy night.
0:19:04 > 0:19:06- It's a vulnerable time of the night.
0:19:07 > 0:19:09- The numbers of doctors - has decreased.
0:19:10 > 0:19:15- We don't want a sudden rush - or we'll struggle to get it cleared.
0:19:15 > 0:19:19- The first patient is Diane Williams - from Llanerchymedd.
0:19:19 > 0:19:21- What happened this evening to you?
0:19:21 > 0:19:23- What happened this evening to you?- - It was yesterday.
0:19:23 > 0:19:25- Somebody gave me a bear hug!
0:19:25 > 0:19:29- Twenty four hours ago - you sustained a violent bear hug.
0:19:29 > 0:19:33- Sorry, that's really - mean to make you laugh.
0:19:34 > 0:19:38- You're the victim - of a violent bear hug!
0:19:38 > 0:19:41- I'm sorry, that's cruel of me!
0:19:41 > 0:19:42- Are you a smoker?
0:19:42 > 0:19:43- Are you a smoker?- - Yes.
0:19:43 > 0:19:44- How many do you smoke?
0:19:44 > 0:19:46- How many do you smoke?- - About a thousand, no about 20!
0:19:47 > 0:19:48- OK!
0:19:48 > 0:19:52- What time yesterday - was the bear hug?
0:19:52 > 0:19:54- I don't know. It just happened.
0:19:55 > 0:19:57- Emergency physicians - are a funny breed.
0:19:57 > 0:20:00- We whinge when it's busy - and when it's quiet.
0:20:00 > 0:20:04- If it's in-between, we start - prowling, looking for trouble.
0:20:05 > 0:20:06- We get bored very easily.
0:20:06 > 0:20:10- We've got attention spans that are - somewhat less than a 5-year-old.
0:20:10 > 0:20:13- It's slightly embarrassing - but it's fairly typical.
0:20:14 > 0:20:18- We're forever waiting - for something fun to come in.
0:20:19 > 0:20:21- The most likely thing - is a cracked rib.
0:20:21 > 0:20:25- Whoever gave you the bear hug - was very enthusiastic!
0:20:25 > 0:20:30- I think that's why you're having - this really nasty sharp pain.
0:20:30 > 0:20:33- I can't do anything - to fix a broken rib.
0:20:33 > 0:20:36- What we need to do - is basically pain relief.
0:20:36 > 0:20:40- I'll sort those out and - you can have those to take away.
0:20:40 > 0:20:44- I'll write it all down as well.
0:20:54 > 0:20:58- The night shift midwives - are in the antenatal ward.
0:20:58 > 0:21:02- Llifon Ward - is ante and post natal.
0:21:04 > 0:21:07- We've had more evening - births recently.
0:21:08 > 0:21:12- We might have a single birth one - night, and seven the next evening.
0:21:13 > 0:21:15- It can go up to 12 - when it's really busy.
0:21:16 > 0:21:20- I prefer working nights. - There aren't so many people around.
0:21:20 > 0:21:23- There is more one-to-one time.
0:21:24 > 0:21:29- The best part is being involved at - a special time in a mother's life.
0:21:29 > 0:21:34- I'm a part of the birth, - and it's great when things go well.
0:21:34 > 0:21:39- I'm also there when things go wrong. - We help people come through it.
0:21:42 > 0:21:44- Does that hurt?
0:21:44 > 0:21:48- I have a little boy - and a little girl.
0:21:48 > 0:21:53- They're terribly excited. - They understand what's going on.
0:21:53 > 0:21:56- Is the water still clear?
0:21:56 > 0:21:59- I hope something happens tonight.
0:21:59 > 0:22:03- It's horrible to wait for pain. - It's strange, isn't it?
0:22:04 > 0:22:06- I don't want the pain, yet I do.
0:22:07 > 0:22:10- I hope it'll be OK.
0:22:12 > 0:22:15- They told me it's a girl, Lowri Wyn.
0:22:16 > 0:22:20- She'll come when she's ready! - She's stubborn like me.
0:22:21 > 0:22:23- There you are, thank you!
0:22:24 > 0:22:28- I'll come back around 11.30pm - to put you on the monitor.
0:22:28 > 0:22:31- Everybody is fine.
0:22:32 > 0:22:34- The babies' hearts are happy.
0:22:34 > 0:22:37- I hope people will settle to sleep.
0:22:37 > 0:22:40- If someone goes over - to labour in the night...
0:22:41 > 0:22:43- ..we'll take it from there.
0:22:54 > 0:22:58- Overnight, a new life - arrived in Ysbyty Gwynedd, Bangor.
0:22:59 > 0:23:02- Emily Grace Roberts - weighed 8lbs and 6oz.
0:23:03 > 0:23:07- Saving, sustaining - and celebrating life...
0:23:07 > 0:23:10- ..that's what - the staff of Ysbyty Gwynedd do.
0:23:11 > 0:23:15- It's work they do tirelessly - and always with a smile.
0:23:15 > 0:23:18- Life goes on for them...
0:23:18 > 0:23:23- ..caring for the 1,000 patients - who are treated here every year.
0:23:23 > 0:23:25- The hospital community...
0:23:26 > 0:23:31- ..cares for the communities of North - Wales, and thank goodness for that.
0:23:45 > 0:23:47- S4C Subtitles by Gwead
0:23:47 > 0:23:48- .