Showing posts with label paediatrician. Show all posts
Showing posts with label paediatrician. Show all posts

Monday, June 8, 2009

Juan Or was Down with High Fever

(Poor Juan Or with high fever)





On the early morning of last week Friday, when Mommy was preparing to go to work and Juan Or was still fast asleep in the spring cot, Brother-in-law asked Mommy whether Juan Or developed any fever following his most recent MMR (mumps, measles, rubella) vaccination. Mommy answered on the negative and went on to explain about the paediatrician mentioning that fever is most likely to occur only about 1 week after the vaccination. And a week or so later, Juan Or still did not experience any fever. However, on that evening itself (i.e., 16 days after his vaccination), when Mommy went to take Juan Or back from the babysitter, the babysitter reported to Mommy that Juan Or developed fever starting from about 9 am. Pure coincidence? Or is it pantang? Anyway, the babysitter took Juan Or's temperature from time to time and the highest reached so far was 38.2 degree C. The babysitter also fed him with fever medicine obtained from the same pediatrician. Juan Or also had occasional coughs and very mild tiny rashes on his skin.



Upon reaching home, Papa and Mommy decided to bring Juan Or to the pediatrician. Upon registration, Juan Or was weighed and the result was 8.6 kg. Mommy was happy with Juan Or's weight because 16 days ago, his weight was just 8.1 kg to which the pediatrician recommended PediaSure for catch-up growth. So looks like the PediaSure is working well for Juan Or - 500 g weight increment in just half a month!



During the waiting time for Juan Or's turn, Juan Or was cheerful at first, but later cried and cried non-stop. When facing the pediatrician, Juan Or even shoved the pediatrician's hand away (in anger and protest!) when he wanted to check Juan Or's throat. After checking his temperature (38.8 degree C now), the pediatrician shoved one bullet-shaped medicine (for high fever) into Juan Or's anus. Haha...call it ass-hole bullet!



After that, the pediatrician asked Papa to take Juan Or out of the consultation room so that he can communicate peacefully with Mommy (Juan Or was crying at the top of his voice!). The pediatrician explained that Juan Or apparently had tonsil infection because he felt a swollen left tonsil. The pediatrician also mentioned that the mild rash on Juan Or's skin was of no concern. After explaining about his prescription, Mommy had the opportunity to ask some questions to which Mommy will put here for the benefit of other parents who may be in the same situation as Mommy.



Q: Does putting a fever patch on the forehead actually help to lower the temperature?
A: No, because logically, a fever involves high temperature on the entire body. So how can a fever patch, which is only a small surface area, cause the fever (of an entire body of much bigger surface area) to go down?



Q: If let's say after pushing in the bullet-shaped high fever medicine into the anus, the child still has high fever after some time, when is a suitable duration before you can push in another bullet-shaped medicine?
A: Leave at least 6 hours before you introduce another bullet-shaped medicine. By the way, any unused bullet-shaped medicine can be stored for 3 years only.



Q: Some old folks say that babies should not be allowed to cry for too long for fear of getting fits. Is this true?
A: Untrue. Prolonged crying has not been associated with getting fits, but high fever does.



Q: Can taking bath at night cause a child to fall sick?
A: There is no clear association for this. But if there are different standards of childcare practice within a household, in this case, might as well abide by how old folks want it (i.e., not taking bath at night) so as not to strain the relationship. Although yes, the mother feels uncomfortable that the toddler has to sleep with sticky, sweaty (and possibly smelly) body after playing, might as well just let loose a bit and go along with how old folks want it to be. Merely wiping the toddler's body with wet cloth will do the job (although Mommy's heart feel it's not completely clean yet).





After the 'talk', Mommy paid for the doctor's fee (RM70, with antibiotic, cough and flu, phlegm medicine) and all of us went home. Then Papa reimbursed Mommy with RM50. Thankfully by 10.30 pm, Juan Or's fever had vanished (his hands and feet felt cold instead) and Mommy didn't hear any coughing sound that night itself. Although Juan Or was quite fretful throughout the night, but by the next morning, Juan Or appeared normal again with no more fever. By the way, this is the first time Juan Or experienced high fever. Before this, the only fever he experienced was a low-grade fever following his second pneumococccal jab.

Wednesday, May 20, 2009

A Visit to the Paediatrician: Conflicting Parenting Issues Resolved

Today was Juan Or's appointment for the MMR (Measles, mumps and rubella) jab. Of course, before entering the paediatrician's consultation room, the nurse asked to weigh Juan Or's body weight, which turned out to be 8.1 kg - much to Mommy's dismay. Here's a history of Juan Or's body weight records:

Birth: 3.38 kg
1st month: 4.87 kg
2nd month: 6.06 kg
3rd month: 6.59 kg
4th month: 6.80 kg (first sign that Juan Or's body weight gain rate is slowing down already)
5th month: 7.12 kg
6th month: 7.35 kg
7th month: 7.60 kg
1 year (present): 8.10 kg



Finally, we were called into the consultation room and the pediatrician prepared the jab for Juan Or. Then he handed Juan Or a Barney soft toy about almost as big as Juan Or. He asked Juan Or to hug the Barney and then pressed Barney's paw which triggered a music to play. The pediatrician injected Juan Or with no time at all and Mommy was sure Juan Or didn't even realize that he was jabbed. After that, Mommy asked the paediatrician whether Juan Or's body weight gain was alright or not and the paediatrician immediately said,"It's gone case!" "Oh, dear," Mommy thought. So looks like the HUKM's pediatrician's recommendation that Juan Or's solid food be added with butter and cheese did not significantly help to increase Juan Or's body weight. So the present pediatrician recommended that Juan Or's milk be changed to PediaSure (Abbott Laboratories) for 3 months. The paediatrician said that PediaSure is a kind of formula milk that contains higher calories than other normal growing up milk and is meant for catch-up growth. After that, there were a series of questions and answers between Grandpa (who also accompanied Mommy and Juan Or into the consultation room), Mommy and the paediatrician. So Mommy has listed down the questions and answers here for everyone's benefit:


Q: Is it alright to change baby and toddler's milk powder brand?
A: Of course if you are already comfortable with the brand you are using, then might as well stick to it. But from the paediatrician's own experience, he said that his own children had used many brands before (Mommy is not surprised since paediatricians receive all sorts of free sample milk powder from various companies!) to which there was no detrimental effect.


Q: Can bathing at night cause the baby or toddler to get chills?
A: There's no right or wrong answer to it, although traditionally people don't bath babies/toddlers at night for fear of getting chills. The main thing is that if the child can take the night bath without any detrimental effects, then by all means, you can continue to bath the baby at night. But if the child can't take it, then don't.


Q: Is it alright to start disciplining (verbal discipline, not physical punishment) a child from as young as 1 year old?
A: Yes, of course. Recommended is to say with firm tone of voice. If you don't start disciplining now, soon the child is going to go over your head (and shit there!).


Q: At what age is it alright to start using children toothpaste on your child?
A: As long as your child knows how to spit, you can start using it already. The peadiatrician's own children started using it from one-and-a-half years old. The paediatrician also said that even if the child swallowed some of the toothpaste, it's alright. The manufacturer has already put that in mind when formulating the children toothpaste. If the child can't spit yet, then suffice with brushing teeth using a finger-held baby toothbrush and water only.



These questions above (except the toothpaste question) stem from differences in opinions, preferences and practices between Mommy and the In-Laws. Mommy hopes these questions and answers help (in some way or other) fellow readers out there who may experience the same conflicting issues that Mommy is currently facing with the In-Laws.


Finally, we left the clinic after Mommy paid RM70 for the MMR jab. Later in the day, Mommy single-handedly took Juan Or out to a bank in Overseas Union Garden (OUG) to settle some transactions and then headed to a Chinese medicine hall (Pasaraya Wah Seng at Jalan Sepadu, off Old Klang Road) to buy a tin of PediaSure. The PediaSure which is 900 g, vanilla-flavoured and contains FOS and prebiotics, costs RM55.90. From now on, Mommy (with Juan Or around) will do things as single-handedly and as independently as possible - don't want anyone (except Papa) to tag along or accompany Mommy and Juan Or if possible, because it's time to take charge of our own family's life and to take pride in how we manage ourselves and our young family!