Showing posts with label PD. Show all posts
Showing posts with label PD. Show all posts

Tuesday, March 24, 2009

His Cough review..

Brought Dillion to the PD- Dr Oh for his cough review. D had been coughing occasionally so I thought to bring him to ensue that his lungs are cleared.

Last Fri, after giving him a strawberry tetra milk pack.. he started coughing during his GUG lesson that I got to pull him out after 15min of lesson.. I played my part as a responsible parent :).

So I talked to Dr Oh about it and she told me that Strawberry milk is actually one of the food trigger for cough.. Hence I must pay special attention to his food intake to ensure a proper recovery of his health.

Food with artificial preservatives are to be avoided. She wrote me a short list:
1. Chocolate
2. Tau Kwa
3. Lapis kueh (9-layer coloured kueh)
4. Honey
5. Peanuts
6. Jam

Friday, March 6, 2009

Yucky "Klacid"

Dillion was prescribed his first dose of antibiotic- Klacid from his PD visit last week.

PD advised to mix it with fruit juice, ribena or other flavour juices.. but i proudly told her that my son loves taking medicine and I should not have problem feeding him.

Boy was I wrong when he spit out and make a mess of it.. the medicine is white in colour with powdered granules. I tasted it and it so sucky and yucky with a bitter aftertaste.

So next best option is to add it to his milk which he drank it unsuspectingly.
Thankfully he is fine with the rest of his medicine.

His phlegm is cleared after 1 week of medicine and hopefully his lungs will be cleared too.

Read more about Klacid here

Thursday, February 26, 2009

Cough & new PD clinic

Dillion been coughing badly and it had developed into a phlegmy cough and hoping that his lungs will not be affected, we brought him to a newly opened PD clinic which is very near our place.

And the PD- Dr Oh ever seen D before when she was at the Paediatric Clinic when we brought him for his jab when he was 6months old.

We were surprised to find a play area upstairs and a changing table..



Dr Oh was lamenting that with the deadly bug in the air.. Parents chose to see GP or self-medicate and when it does not improved and comes back to the PD.. means they have to give anti-biotic which most be due to recession.

Anyway, Dr Oh confidently told us that D's cough will be cured within a week as his lungs sound alright which make me felt so relieved!

With 4 types of medicine and a ear drop (to remove big piece of ear wax stuck in his ear) makes us $108 poorer.

Update:
After 1 day of medication, D stopped hacking away though there is still phlegm when he cough.
At Day 4.. He is feeling much better! Less cough and able to sleep better..

Saturday, December 20, 2008

MMR jab & assessment..

I brought Dillion for his long overdue MMR jab at his usual Paediatric Clinic yesterday.

Dr Wong did some assessment with D by giving him a book and ask him to point when she asked which is "Bird", "Dog", "Baby", "Ball" etc..
D refused to point even though I know he can recognise every thing she asked but he managed to name most of them.

He surprised me by saying new words - Bird and Baby clearly.

So I was advised to do more flashcards and reading with him and encouraged him to point at things.
Guess I had overlooked this area.. I will usually get him to name the items instead of asking him which is which.

Since D can say between 10-15 words.. he was given the green light for the jab.

Thankfully D co operate with me since Kevin was not with us. PD jab his bum with D in standing position and I distracted him by reciting "A-Z".

His weight and height assessment:
Weight: 10.79kg (increase 800gm)
Height: 83 cm

Finally a Certificate of Vaccination from Dr Wong:


We were told to safe keep this properly as we need this for D's enrolment to childcare/kindergarten.

Monday, November 17, 2008

18 month jab..

We brought Dillion for his 18th month booster jab the week before we left for our holiday.

His stats:
Weight: 10.1 kg
Height: 83cm

As usual his weight and height remains pathetically at 25 percentile and head circum at 75percentile.

PD asked if he had been eating well anot and why still not gaining weight??
I wished i have the answer too.. D is not eating as much as before as he is starting to pick on his food.

PD suggest to give small snacks/meals in between like banana smoothies, cheese etc.

His gross motor skills and language are fine.

He kept wanting to walk out of the consultation room.. guess he knows he will be poked. He let out a short 5 sec yelp after the needle went in.
When we were ready to go.. he waved said "BYE" to the PD for the first time which caught us by surprise!!
Seem like he can't wait to leave the room!

Sunday, August 31, 2008

Chickenpox Jab


We brought D for his pox jab on Wed. We seem to be playing catching game on his jab schedule.. as he has not even taken his MMR jab (for 15mth old) jab yet.

His vital stats:
Weight: 9.6kg (+600gm) @25-50 percentile yipee!!
Height: 78-80 cm.. @50 percentile ..this fellow refused to be pinned down. Thus its agaration.
Head Circum: 48cm (75 percentile)

We were relieved that this 'eat anything under the sky' son of ours finally had a decent weight gain after being stagnant for past 6months.

PD did a series of tests on his motor skills. Sigh.. this fellow chose not perform to her expectations. He refuse to point out 'dog', 'cat' flashcards and figurines. Did not bother to stack up blocks instead he prefer to throw them away.
Said proudly 'Banana, Apple, Dada'.. much to our delight!

PD spent 20min assessing him before jabbing..D did not cry and we further discuss about MMR which she agrees with me in delaying as i told her my concerns on myths that MMR may cause Autism.. since D can only babble a few words.

So we will just go for 18mth jab and take MMR at 20-24mths.

Tuesday, June 24, 2008

Valuable lessons/tips on Fever ..

A few tips on fever management which i picked up from my cousin doctor and a helpful nurse from TMC and for my future reference

Care:
1. Give right dosage of medicine based on your child's weight
2. Check their hands and legs for rashes
3. Sponge and check their temperature regularly
4. Dress light and on air-con
5. We can still bath them

Medicine:
~To give Paracetamol every 4hourly instead of the normal 6hourly interval.
~Give Nurafen if fever peaks 38.5 & above at a 6 hour interval.
~Which means we must alternate between Para & Nura
~Even if fever falls to normal range during the day, we must adhere to 4hour interval of Paracetamol to ensure fever goes down completely
~Must not miss a single Para feed and to wake up in middle of night to monitor and give Para.

Suppository- not advisable for the moment as it may causes side effect eventhough its best remedy

Food:
Its normal that our child not to have appetite for their favourite meal and even milk. Thus not a cause of concern
Leave them alone if they reject food.
Not neccessary to feed them water after medicine for water may even cause vomiting
However we must ensure they eat once they recover.

Vomiting:
Fever causes vomiting. Sometimes what they consume be it a small mouthful of water will cause vomiting.
If they continue to vomit after recover from fever , means they have stomach/gastric flu.

After care:
If fever persist after 2-3days, to see a doctor again or go straight to hospital during office hours in order to do a blood test

========================================
on TMC outpatient service
I'm glad that we made the right choice of going to TMC instead of KKH as we may have to wait x hours to see a doctor at KKH. Anyhow, KKH will stil be the ultimate choice if a child need to be warded for further tests.
At TMC, we saw a doctor 5min after registering.
Cost of midnight medical charge:
$82

Sunday, June 22, 2008

Pneumococcal- 3rd jab

Kevin and I made an impromptu decision of bringing D for his injections since we are long overdue.
Here is us monkeying around at the clinic.. funny how the 3 of us are looking at different directions


Dillion was a trooper for he did not let out a whimper at all when Dr jab his bum! Even Dr Wong was amazed that he is her only patient that look so nonchalant after a jab.

Had a brief discussion with Dr Wong with regards to D not walking yet. She did a test by holding on to his arms but he refused to walk. She attribute it to laziness which i agree. As long as D is pulling himself up and cruising, we should not be worried.

Next issue is his weight.. We are very puzzled on why there is minimal weight gain for the past 6months with the fact that he is eating very well like an endless pit and we definitely feel the gain when we carry him just that its not showing on the scale :(. Only comfort is he had grown much taller!

His statistic:
Weight: 8.9kg (on 1st try)
9.1kg (on 2nd try)

Height: 80 cm

Saturday, March 29, 2008

Pneumococcal- 2nd jab

We brought Dillion for his Pneu- 2nd jab @ PD clinic @bishan. It was a new PD so I dare not take photos as we aren't that familiar with her.

Anyway, Dr Wong is quite alright.. gentle and patient. This time, the lil' one did not even cry! I managed to distract him with a toy when he is on his tummy.. and jab was over before i knew it.

I'm disappointed that there is not much weight gain. He is now 8.8kg and 73.5cm long. Hiaz.. he is really a jiat liao bee.. i wonder where did all his food gone to? Perhaps dragging his body will burnt more fats than crawling? He is currently at 50 percentile..

Next jab: chicken pox in end May then Pneu- 3rd jab in end June

Saturday, December 15, 2007

Pneumococcal Jab (1st dose)

We bought Dillion for his long overdue Pneumococcal jab at a new PD clinic in Bishan as i decided to stop patronising Dr Ong due to long waiting time.

Whilst the lady doc- Dr Oh was explaining to me about Pneumococcal, D sat on her table, looking very solemnly and scared and was observing the Doc. He seem to know what is going to happen.

Only until Doc lay him on the table and he saw the toys hanging above then he started smiling and kicking whilst Doc examine him externally. Everything is ok and functioning well.. Am so glad when Doc assure me that there is no squint in his eyes.

This fellow happily flip on to his tummy:

so Doc decided to jab on his bum instead of his thigh since he looks as if he was all prepared.



Dillion let out a short cry after the jab and stop after being distracted by a toy.

Anyhow, i'm pretty pleased with this PD and will consider going back to the clinic for future jabs. But this jab burnt a hole in Daddy's pocket- $230!!

Kind Doc gave me a tin of 400g of Enfapro. (i did not ask for it..) she understand that nowadays formula milk is not cheap.

Dillion now weigh 8.5kg and 71cm long. I was surprised that this time round the weight gain is so little only abt 0.3kg!! Doc assured me that its normal as their weight gain will slow down after 6months and furthermore they are more active.

Friday, October 26, 2007

Visit to PD- 6th month

We brought Dillion for his last Hep B jab..
Dillion on the weighing scale & looking at the pretty nurse:
Photo Sharing and Video Hosting at Photobucket
He now weigh 8.2kg, 69cm long and head cir 44cm. He has outgrow the weighing scale so on the next visit, he will be sitting on the machine instead

His favourite toy in Dr Ong's room
Photo Sharing and Video Hosting at Photobucket

Here comes the jab!
Photo Sharing and Video Hosting at Photobucket

All is well and Dr Ong gave us the green light to start D on semi-solids like cereal and porridge.
He also told us to add spinach, pumpkin, banana, apple blah blah.. we told him D had already eaten all that he mention. However Dr Ong say threadfin fish is to be given only after 7 month due to allergen. Luckily D had eaten them few weeks back and nothing happen.

Friday, September 21, 2007

Change PD?

This question been bothering me for the past few weeks but i been procrastinating on searching for a PD in our neighbourhood or just go Polyclinic for his subsequent jabs.
So i still ended up at Dr Ong today for his 5th month jab.

Must clarify.. not that Dr Ong is not good but there are other factors enticing me to change PD.

Firstly, parking at TMC- a killer
Secondly, wait time at clinic (waited 1.5hr today)- double killer
Thirdly, $$ spend on jab- triple killer

To give justice to Dr Ong.. must say i like him as a Doc. He is always busy shuttling between 2 rooms.
When he entered the room (where we were waiting for him).. he would greet us with a smile and say "hi Dillion, how are you today", before sitting down.As if he has read his medical records beforehand.

His jab is super fast and my boy rarely cry after jab- which is important to me.

Some may say he do not have time to entertain questions. But i beg to differ.. My questions has always be answered and clarified. Sometimes, after a visit, can boost my confidence in my boy.
You know lah, first time mummy always scared this and that.

Anyway, i still go to him for 6th month jab..

Visit to PD- 5th Month

Bought Dillion for his long overdue 5th month jab.
He is weighing 7.7kg & 65cm long.

The photo of D & I gotta be small because can see my dark eye ring :(


First thing when Dr Ong saw his weight "Wow solid leh! Babies at 1yo is only abt 8-10kg".

This time Dr Ong was too fast for me to take a proper photo of the needle poking him

This time D did not make a whimper. This jab left me $100 poorer.

Friday, August 10, 2007

4th month injection

Dillion is weighing 7.17kg 63.5cm long. He gain almost 1kg from last month check up.
While waiting to see Dr Ong:



All is well and Dr Ong assured me that is ok to have 'milk belly' and his eyes is not squint.
Here comes the jab:

& Rotarix oral medication:



or
You can also click Video 1.

or
You can also click Video 2

Sunday, July 8, 2007

Visit to PD- 3rd Month

is weight : 6.27kg, 63cm long as at 5 Jul.
My boy cried for 5 sec after being jab on the thigh! i'm so proud of him.

But he was so tired that he slept quite a while when we went back. He developed mild fever the next day and looked restless. Quickly gave him paracetamol and went back to his normal self on Saturday.

Really pained to see him like this. Spending so much to see my child suffer

Friday, May 11, 2007

Visit to PD @1st Month

Dillion's growth:

Weight: 4.1kg, Length: 53cm. Head 37.8cm. His weight is in the 95th percentile.
Wow, i'm not really sure how did he grew from a light weight newbie to a heavyweight baby in a month's time.
For sure this is all due to Enfalac formula that fatten him.

Tuesday, April 10, 2007

Vist to PD & My Gynae

Kevin & I bought Dillion for his jaundice review on his 5th day on earth and this is our first attempt bringing our baby out as well as a post partum review with Dr Khi
Preparing Dillion for his trip out of house


Took a photo with Dr Khi whom delivered Dillion and is a wonderful Doc!


Dillion's jaundice level is back to normal and he now weigh 2.7kg.

Sunday, April 8, 2007

sun bathing him as instructed by his PD, Dr Ong

Oh... look at his skinny legs and tiny body. The diaper looked so over size!