Pennod 4 Ysbyty

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-Bangor's Ysbyty Gwynedd

-is a busy yet homely place.

-Its 530 beds and 3,500 staff...

-..serve the people

-of North West Wales.

-Every aspect of life is seen here.

-Excitement at the Accident Unit,

-joy at the Maternity Unit.

-They treat sick children

-and care for the elderly.

-Operations, deaths and births...

-..cleaners, chefs,

-maintenance workers...

-..and laughter.

-This and more in Ysbyty Gwynedd.

-Good morning.

-I'll bring you fresh water.

-At 8am, cleaner

-Glyn Rowlands begins his rounds.

-He changes the drinking water

-and washes the jugs.

-Good morning.

-There must be at least 80 cleaners,

-between the part-timers.

-I reckon so.

-It's important to wash the jugs.

-There are different infections here.

-I make sure they're spotless.

-I didn't enjoy my first week.

-I was given Enlli Ward

-and I settled down.

-I must enjoy it - I arrive

-45 minutes early every morning!

-I've never been late.

-The patients on Enlli Ward

-were there for months.

-I've seen things happen.

-It's shocking.

-It's important to switch off

-after a day's work.

-In the Accident Unit, Dr Linda Dykes

-welcomes a new patient.

-He's hurt his big toe.

-My name's Linda, I'm one of the

-consultants. Pleased to meet you.

-Who's going to tell me

-what's happened, Mum or Ryan?

-I was getting up on the sofa,

-and it went back until it clicked.

-The whole foot or just the toe?

-The whole foot or just the toe?

-

-Just the toe.

-We'll have a little look.

-It's very seasonal, actually. The

-bulk of our work load is medical.

-A lot of people have a perception

-emergency medicine is about trauma.

-But actually, we have huge numbers

-of sick people as well.

-We have a high work load of minor

-injuries this time of year.

-We try to separate the major things

-from the minor things.

-If not,

-the whole place gets bunged up.

-I need you to shout if it gets sore.

-Sore? You don't like

-that very much, I'm sorry.

-Sore? OK darling, sorry.

-I think we have

-to get an X-ray of that for you.

-The actual little bit of the toe,

-we don't worry about...

-..so long they're pointing

-in the right direction.

-At the base of the toe,

-it's actually into his foot.

-It's quite sore and I want to make

-sure we haven't got a little break.

-Underneath hurts as well.

-Bones are two sided and I suspect

-it's very sore on the top.

-If I gently check the bottom...

-..he doesn't like that very much,

-he's clenching his fist!

-We'll get an X-ray and have a

-look at that in a few minutes' time.

-Ryan needs a scan to determine

-the seriousness of the injury.

-Vital scientific work is carried out

-in the Pathology Laboratory.

-The purpose of our work...

-..is to ensure the blood is safe.

-As little as a dessert spoon

-of the wrong blood could kill.

-It's obviously important work!

-We start by taking a blood sample.

-It's critical

-to label the sample correctly.

-We have a zero tolerance policy.

-We can't afford to make mistakes.

-Geraint is making sure everything

-is correctly labelled.

-He compares the form that

-the doctor or nurse has filled...

-..with the labelled sample.

-This is the Histopathology Unit.

-We analyze the tissue that arrives

-from the theatre or GP.

-This is a cancerous breast.

-Within the tissue...

-..we can see where the tumour

-is separated from the fat.

-It takes time for the larger

-specimens to go through.

-Small specimens, such as

-gastric and needle biopsies...

-..are processed overnight.

-The larger specimens can take

-up to a week, sometimes longer.

-They are treated with chemicals

-so we can cut sections...

-..in order to study the results.

-Glyn Rowlands has finished the jugs.

-He'll concentrate

-on the floors next.

-It's colour-coded.

-The red and pink mops

-are used in the toilets.

-Blue is for the wards.

-Green is for the kitchen.

-We call the yellow ones barriers.

-I'm an organised person,

-even at home.

-I know where everything is.

-I like everything to be in place,

-and here, too.

-I'm going to dry-mop...

-..and then wet-mop

-the two bays there.

-The doctors and nurses

-have finished.

-It's almost lunchtime.

-There's plenty to do!

-Time flies here.

-Dr Linda Dykes is studying

-Ryan Bailey's X-rays.

-Do you want the good news

-or the bad news?

-Bad.

-Bad.

-

-You do have a broken toe.

-The good news is it's the best kind

-of broken toe to have.

-It's at the base of the main bit of

-toe rather than down into the foot.

-The bottom of the foot

-is sore and bruised...

-..because that'll be soft tissue

-injury and sprain, basically.

-You've got a crack

-at the bottom of that toe.

-That gets better by itself.

-We need to strap the toe

-to its next door neighbour.

-It does take about six weeks,

-possibly four because you're young.

-It's going to be a little bit sore.

-OK?

-Thank you very much.

-Thank you very much.

-

-You're welcome.

-In the Path Lab...

-..a tumour sample in a block of

-paraffin is ready to be analyzed.

-Once the paraffin block arrives

-we use a microtome to cut it.

-The microtome cuts very thin slices.

-To understand how thin it is...

-..there are 1,000 micrometers

-in one millimetre.

-It's incredibly thin.

-We pick up the section...

-..on a glass slide.

-It's inserted in water...

-..and the tissue

-ends up on the slide.

-It's colourless and therefore

-can't be studied under a microscope.

-We stain it.

-The slides are mounted

-once they've been stained.

-A protective film

-covers the tissue.

-They can be stored for 30 years.

-Once that's done...

-..they're matched up

-with the request forms...

-..that accompanied the samples.

-They're checked

-under the microscope...

-..before the pathologist

-can prepare a report.

-I often feel people don't realize

-what happens in the laboratory.

-They visit a doctor

-and get sent for tests.

-They don't think about what goes on.

-They don't realize we work 24-7,

-every day of the year.

-It's more or less non-stop here.

-After the break, we join

-porters on the corridors...

-..cleansing blood

-in the Renal Unit...

-..breaking the mortuary taboo

-and the antenatal labour of love.

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-As teatime approaches...

-..the shop and cafe

-volunteers prepare for the rush.

-I was working,

-but my husband wanted me to retire.

-I told him

-that I had to do something.

-I'm here on Wednesday

-and Friday mornings. I enjoy it.

-I'm here for the public.

-It's a vital service.

-People appreciate what we do.

-They don't know

-how they'd manage without us.

-I enjoy it.

-It's quiet first thing

-in the morning.

-You can never tell

-when it'll get busy.

-It's quiet at the moment.

-They're avoiding the film crew!

-There are six unpaid volunteers here

-every day.

-The profit we make

-goes back to Ysbyty Gwynedd.

-We raised half a million

-towards the stroke ward.

-That proves

-we generate a healthy profit.

-Porters come and go all day long.

-Hello, porters.

-OK, bye.

-Can you go to Casualty

-to get blood gasses?

-Some people call me Dafydd.

-I don't often speak English,

-but when I do, they call me David.

-I know people from school.

-My nickname is Wheels.

-OK, thanks.

-These are the blood test results

-for the different wards.

-I remove the papers

-and give them to the ward...

-..and take the bags back.

-On a good day,

-it'll take 30 to 45 minutes.

-If I take my time,

-it can take an hour.

-I've only got two wards to go.

-I go back to the office to ask

-if there's anything else to do...

-..or I'll take over on the desk.

-56 patients receive dialysis here,

-three times a week.

-This is the Renal Unit.

-We have 15 chairs here.

-The patients are here because

-their kidneys are not working.

-They need dialysis...

-..to cleanse the blood

-and extract water.

-Philip Blake can work

-the machine on his own.

-I went through college.

-I laboured on the new road

-to pay for my final college year.

-That's when my kidney failed.

-I use button holes.

-I have to get rid of the scabs.

-I always use the same hole.

-People come here on work experience.

-They pass out!

-It's OK when the needle is inserted.

-But they faint when they see blood.

-It's started to cleanse the blood.

-Dad usually sits with me at home.

-We like watching

-the same TV programmes.

-We don't argue over what to watch!

-It's a busy unit.

-I like being with the patients.

-We know we make a difference.

-We're here to help them.

-We're one big family.

-We see them often

-and we're very close.

-The sweet trolley

-is doing the rounds.

-I've been here over ten years.

-I started here after I retired,

-almost 20 years ago.

-We've worked together

-for over ten years.

-We have fun.

-We discuss everything.

-We like to meet the patients.

-Door opening.

-We sell a selection of chocolates.

-We sell a selection of chocolates.

-

-And crisps.

-We stock books, too.

-We haven't been given any today,

-stuff for women.

-We've toothbrushes and toothpaste

-in case somebody forgot theirs.

-This is the price list.

-Ann looks after the money.

-That's my job!

-I run around!

-People don't often

-see this part of the hospital.

-It's usually hidden

-in the background.

-It's an important part of our work.

-When a body comes to the mortuary

-it is allocated to a fridge.

-There are 31 fridges

-and three freezers.

-Every corpse gets

-an individual fridge...

-..until a decision about whether

-a post-mortem is required or not.

-People don't understand

-what goes on in the mortuary.

-It's behind the scenes.

-Even the nurses and doctors

-don't know what goes on here...

-..and how the staff

-respect their work...

-..how seriously

-they take their jobs.

-Believe it or not,

-this room is part of the mortuary.

-It's a difficult time for families.

-We try to make it

-as easy as possible for them.

-We make sure there are people here

-to support them...

-..through difficult times.

-It's the last impression

-they'll take away from the hospital.

-It's important to support them

-however we can.

-On the night shift

-in the Accident Unit...

-..Dr Linda Dykes

-foresees a busy night.

-It's a vulnerable time of the night.

-The numbers of doctors

-has decreased.

-We don't want a sudden rush

-or we'll struggle to get it cleared.

-The first patient is Diane Williams

-from Llanerchymedd.

-What happened this evening to you?

-What happened this evening to you?

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-It was yesterday.

-Somebody gave me a bear hug!

-Twenty four hours ago

-you sustained a violent bear hug.

-Sorry, that's really

-mean to make you laugh.

-You're the victim

-of a violent bear hug!

-I'm sorry, that's cruel of me!

-Are you a smoker?

-Are you a smoker?

-

-Yes.

-How many do you smoke?

-How many do you smoke?

-

-About a thousand, no about 20!

-OK!

-What time yesterday

-was the bear hug?

-I don't know. It just happened.

-Emergency physicians

-are a funny breed.

-We whinge when it's busy

-and when it's quiet.

-If it's in-between, we start

-prowling, looking for trouble.

-We get bored very easily.

-We've got attention spans that are

-somewhat less than a 5-year-old.

-It's slightly embarrassing

-but it's fairly typical.

-We're forever waiting

-for something fun to come in.

-The most likely thing

-is a cracked rib.

-Whoever gave you the bear hug

-was very enthusiastic!

-I think that's why you're having

-this really nasty sharp pain.

-I can't do anything

-to fix a broken rib.

-What we need to do

-is basically pain relief.

-I'll sort those out and

-you can have those to take away.

-I'll write it all down as well.

-The night shift midwives

-are in the antenatal ward.

-Llifon Ward

-is ante and post natal.

-We've had more evening

-births recently.

-We might have a single birth one

-night, and seven the next evening.

-It can go up to 12

-when it's really busy.

-I prefer working nights.

-There aren't so many people around.

-There is more one-to-one time.

-The best part is being involved at

-a special time in a mother's life.

-I'm a part of the birth,

-and it's great when things go well.

-I'm also there when things go wrong.

-We help people come through it.

-Does that hurt?

-I have a little boy

-and a little girl.

-They're terribly excited.

-They understand what's going on.

-Is the water still clear?

-I hope something happens tonight.

-It's horrible to wait for pain.

-It's strange, isn't it?

-I don't want the pain, yet I do.

-I hope it'll be OK.

-They told me it's a girl, Lowri Wyn.

-She'll come when she's ready!

-She's stubborn like me.

-There you are, thank you!

-I'll come back around 11.30pm

-to put you on the monitor.

-Everybody is fine.

-The babies' hearts are happy.

-I hope people will settle to sleep.

-If someone goes over

-to labour in the night...

-..we'll take it from there.

-Overnight, a new life

-arrived in Ysbyty Gwynedd, Bangor.

-Emily Grace Roberts

-weighed 8lbs and 6oz.

-Saving, sustaining

-and celebrating life...

-..that's what

-the staff of Ysbyty Gwynedd do.

-It's work they do tirelessly

-and always with a smile.

-Life goes on for them...

-..caring for the 1,000 patients

-who are treated here every year.

-The hospital community...

-..cares for the communities of North

-Wales, and thank goodness for that.

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